Provider Demographics
NPI:1255175956
Name:MENOPAUSE ROCKS
Entity type:Organization
Organization Name:MENOPAUSE ROCKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-628-9690
Mailing Address - Street 1:1401 HARVEST RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-9129
Mailing Address - Country:US
Mailing Address - Phone:713-628-9690
Mailing Address - Fax:
Practice Address - Street 1:1401 HARVEST RIDGE LN
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-9129
Practice Address - Country:US
Practice Address - Phone:713-628-9690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-19
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty