Provider Demographics
NPI:1508197690
Name:ADVANCED WOMEN'S HEALTHCARE
Entity Type:Organization
Organization Name:ADVANCED WOMEN'S HEALTHCARE
Other - Org Name:ADVANCED WOMEN'S HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KRIS
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:BARNSFATHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-312-4425
Mailing Address - Street 1:22999 HIGHWAY 59 N STE 250
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-4440
Mailing Address - Country:US
Mailing Address - Phone:281-312-4425
Mailing Address - Fax:281-312-4435
Practice Address - Street 1:22999 HIGHWAY 59 N STE 250
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-4440
Practice Address - Country:US
Practice Address - Phone:281-312-4425
Practice Address - Fax:281-312-4435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-29
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3892207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX183155403Medicaid