Healthcare Provider Details

I. General information

NPI: 1376908749
Provider Name (Legal Business Name): BD HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2015
Last Update Date: 01/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17515 SPRING CYPRESS RD SUITE C309
CYPRESS TX
77429-2688
US

IV. Provider business mailing address

17515 SPRING CYPRESS RD SUITE C309
CYPRESS TX
77429-2688
US

V. Phone/Fax

Practice location:
  • Phone: 713-581-8792
  • Fax: 713-481-0240
Mailing address:
  • Phone: 713-581-8792
  • Fax: 713-481-0240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DAWN JARVIS
Title or Position: VP FINANCE
Credential:
Phone: 713-581-8792