Provider Demographics
NPI:1366789265
Name:GENERATIONAL WOMEN'S HEALTH PA
Entity type:Organization
Organization Name:GENERATIONAL WOMEN'S HEALTH PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-557-0300
Mailing Address - Street 1:251 W MEDICAL CENTER BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4246
Mailing Address - Country:US
Mailing Address - Phone:281-557-0300
Mailing Address - Fax:281-557-3301
Practice Address - Street 1:251 W MEDICAL CENTER BLVD STE 300
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4246
Practice Address - Country:US
Practice Address - Phone:281-557-0300
Practice Address - Fax:281-557-3301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-11
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP2466174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty