Healthcare Provider Details

I. General information

NPI: 1518295591
Provider Name (Legal Business Name): JANET PARSONS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2009
Last Update Date: 12/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16123 PORT O CALL ST
CROSBY TX
77532-5247
US

IV. Provider business mailing address

16123 PORT O CALL ST
CROSBY TX
77532-5247
US

V. Phone/Fax

Practice location:
  • Phone: 713-280-1075
  • Fax:
Mailing address:
  • Phone: 713-280-1075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberG3672
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: