# PRISTINE OB-GYN CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346514619
- **Authorized official:** MRS. IYABODE MUNIRAT OGUNLADE M.D. (MANAGER)
- **Authorized official phone:** (281) 206-4496

## Contact information

- **Practice address:** 13523 HARGRAVE RD, HOUSTON, TX 77070-3829
- **Practice address phone:** (281) 206-4496
- **Mailing address:** 13523 HARGRAVE RD, HOUSTON, TX 77070-3829
- **Mailing address phone:** (281) 206-4496
- **Mailing address fax:** (281) 206-4487

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | M8471 | TX | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 03/02/2012
- **Last updated:** 05/19/2023