Organization
PRISTINE OB-GYN CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IYABODE MUNIRAT OGUNLADE M.D. (MANAGER)
(281) 206-4496
Entity
Organization
Contact information
Practice address
13523 HARGRAVE RD, HOUSTON, TX 77070-3829
(281) 206-4496
Mailing address
13523 HARGRAVE RD, HOUSTON, TX 77070-3829
(281) 206-4496
(281) 206-4487
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
M8471
TX
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297102001
—
TX
05
—
411162701
—
TX
Enumeration date
03/02/2012
Last updated
05/19/2023
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