Provider Demographics
NPI:1992089510
Name:AFFINITY WOMAN'S HEALTH SPECIALISTS, PLLC
Entity type:Organization
Organization Name:AFFINITY WOMAN'S HEALTH SPECIALISTS, 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 1:3347 KEYGATE DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-3337
Mailing Address - Country:US
Mailing Address - Phone:832-768-0703
Mailing Address - Fax:832-458-2399
Practice Address - Street 1:8901 FM 1960 BYPASS RD W
Practice Address - Street 2:STE206
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4018
Practice Address - Country:US
Practice Address - Phone:832-768-0703
Practice Address - Fax:832-458-2399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-30
Last Update Date:2011-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty