Organization Active NPI

Advanced Women's Wellness, PLLC

  • Obstetrics & Gynecology Physician
  • Katy, TX
National Provider Identifier
1609018506
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
H1293 Issued in TX
Legal business name
ADVANCED WOMEN'S WELLNESS, PLLC
Practice address
21402 Provincial Blvd
Katy, TX 77450-7587
Phone
(281) 398-0777
Fax
(281) 398-0771
NPI assigned
Mar 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Authorized official

Name
Dr. Maria Milian Sobarzo, MD
Title
President
Phone
(281) 398-0777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X H1293 TX Primary

Addresses

Primary practice location

21402 Provincial Blvd
Katy, TX 77450-7587

Mailing address

21402 Provincial Blvd
Katy, TX 77450-7587
Phone (281) 398-0777

Other names 1

  • Maria Milian Sobarzo MD PA Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160929001361 TX Part B Supplier - Clinic/Group Practice 1557658887 Receives reassigned benefits from 3 practitioners
Practice locations: Katy, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1106092Advanced Women's & Wellness PLLC21402 Provincial Blvd, Katy, TX 77450Provider-performed microscopyOct 4, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1609018506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21402 PROVINCIAL BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507587",
            "telephone_number": "281-398-0777",
            "fax_number": "281-398-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21402 PROVINCIAL BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507587",
            "telephone_number": "281-398-0777",
            "fax_number": "281-398-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WOMEN'S WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "MILIAN SOBARZO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-398-0777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H1293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maria Milian Sobarzo MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.