Provider Demographics
NPI:1891308607
Name:ASPIRE FERTILITY INSTITUTE, INC.
Entity Type:Organization
Organization Name:ASPIRE FERTILITY INSTITUTE, INC.
Other - Org Name:INCEPTION FERTILTIY INSTITUTE
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR, PAYOR RELATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MARIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEBENEDICTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-254-3601
Mailing Address - Street 1:6750 WEST LOOP S STE 395
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4110
Mailing Address - Country:US
Mailing Address - Phone:832-342-9185
Mailing Address - Fax:
Practice Address - Street 1:5300 N MCCOLL RD STE 200
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3968
Practice Address - Country:US
Practice Address - Phone:956-800-4177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASPIRE FERTTILITY INSTITUE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-31
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty