Pristine Birth & Wellness Center LLC

Primary specialty

Birthing Clinic/CenterTaxonomy code 261QB0400X

Legal business name

PRISTINE BIRTH & WELLNESS CENTER LLC

Practice address

13523 Hargrave Rd
Houston, TX 77070-3829

Phone

(832) 488-7824

Fax

(281) 206-4487

NPI assigned

Jan 17, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Iyabode Munirat Ogunlade, M.D.

Title

Owner

Phone

(832) 488-7824

Specialties & licenses 1

Addresses

Other names 1

• Pristine Birth Center Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1215473095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13523 HARGRAVE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770703829",
            "telephone_number": "832-488-7824",
            "fax_number": "281-206-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13523 HARGRAVE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770703829",
            "telephone_number": "832-488-7824",
            "fax_number": "281-206-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISTINE BIRTH & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "OGUNLADE",
        "authorized_official_first_name": "IYABODE",
        "authorized_official_middle_name": "MUNIRAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-488-7824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pristine Birth Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Birthing Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Birthing Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.