Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | P6055 | TX |
NPI | 1114158672 |
---|---|
Provider Name | Dr. Bridgette Johnelle Parish |
First Address | Houston, TX 77024-2301 |
Second Address | Houston, TX 77024-2301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2009 |
Last Update Date | 07/04/2014 |