Provider Demographics
NPI:1083692610
Name:KATY WOMENS CARE, P A
Entity Type:Organization
Organization Name:KATY WOMENS CARE, P A
Other - Org Name:OBSTETRIC AND GYNECOLOGIC AFFILIATES OF KATY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN PELT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-394-0286
Mailing Address - Street 1:23920 KATY FWY STE 330
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-0899
Mailing Address - Country:US
Mailing Address - Phone:281-392-2266
Mailing Address - Fax:291-392-3147
Practice Address - Street 1:23920 KATY FWY STE 330
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-0899
Practice Address - Country:US
Practice Address - Phone:281-392-2266
Practice Address - Fax:291-392-3147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-04
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty