Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | F4770 | TX |
NPI | 1013992916 |
---|---|
Provider Name | Ms. Margaret E Bridges |
First Address | Houston, TX 77047-1923 |
Second Address | Houston, TX 77030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2005 |
Last Update Date | 20/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C13753 | (02) | |
P00308600 | MEDICARE RAILROAD (01) | TX |