Provider Demographics
NPI:1811609530
Name:BECOMING TOWANDA
Entity type:Organization
Organization Name:BECOMING TOWANDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
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 LANE
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078
Mailing Address - Country:US
Mailing Address - Phone:713-628-9690
Mailing Address - Fax:940-365-9009
Practice Address - Street 1:13052 DALLAS PKWY #210
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-4241
Practice Address - Country:US
Practice Address - Phone:940-365-9001
Practice Address - Fax:940-365-9009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-14
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty