Provider Demographics
NPI:1710080049
Name:NORTH HOUSTON BIRTH CENTER
Entity Type:Organization
Organization Name:NORTH HOUSTON BIRTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:VANDE GIESSEN
Authorized Official - Suffix:
Authorized Official - Credentials:CNM MSN
Authorized Official - Phone:713-699-4211
Mailing Address - Street 1:7007 NORTH FWY
Mailing Address - Street 2:SUITE 435
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77076-1324
Mailing Address - Country:US
Mailing Address - Phone:713-699-4211
Mailing Address - Fax:713-699-8996
Practice Address - Street 1:7007 NORTH FRWY
Practice Address - Street 2:SUITE 435
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-1324
Practice Address - Country:US
Practice Address - Phone:713-699-4211
Practice Address - Fax:713-699-8996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-05
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008048261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX164299301Medicaid