Provider Demographics
NPI:1528345303
Name:NORTH HOUSTON GYN PLLC
Entity type:Organization
Organization Name:NORTH HOUSTON GYN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:LITREL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-768-0703
Mailing Address - Street 1:PO BOX 60974
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77205-0974
Mailing Address - Country:US
Mailing Address - Phone:832-768-0703
Mailing Address - Fax:281-913-0358
Practice Address - Street 1:2000 CRAWFORD ST
Practice Address - Street 2:STE 800
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-9000
Practice Address - Country:US
Practice Address - Phone:832-768-0703
Practice Address - Fax:281-913-0358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty