Provider Demographics
NPI:1609018506
Name:ADVANCED WOMEN'S WELLNESS, PLLC
Entity Type:Organization
Organization Name:ADVANCED WOMEN'S WELLNESS, PLLC
Other - Org Name:MARIA MILIAN SOBARZO MD PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILIAN SOBARZO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-398-0777
Mailing Address - Street 1:21402 PROVINCIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-7587
Mailing Address - Country:US
Mailing Address - Phone:281-398-0777
Mailing Address - Fax:281-398-0771
Practice Address - Street 1:21402 PROVINCIAL BLVD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-7587
Practice Address - Country:US
Practice Address - Phone:281-398-0777
Practice Address - Fax:281-398-0771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-24
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH1293207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty