# PRISTINE BIRTH & WELLNESS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pristine Birth and Wellness - Professional Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215446497
- **Authorized official:** IYABODE OGUNLADE (OWNER)
- **Authorized official phone:** (281) 206-4496

## Contact information

- **Practice address:** 6617 FM 2920 RD STE 200, SPRING, TX 77379-2636
- **Practice address phone:** (281) 206-4496
- **Practice address fax:** (281) 206-4487
- **Mailing address:** 13523 HARGRAVE RD, HOUSTON, TX 77070-3829
- **Mailing address phone:** (281) 206-4496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | — | NULL | — |
| 176B00000X | Midwife | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2017
- **Last updated:** 09/20/2017