Healthcare Provider Details

I. General information

NPI: 1275586349
Provider Name (Legal Business Name): CESAR A PARRA MD, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1821 WIRT RD
HOUSTON TX
77055-2406
US

IV. Provider business mailing address

1821 WIRT RD
HOUSTON TX
77055-2406
US

V. Phone/Fax

Practice location:
  • Phone: 713-468-9000
  • Fax:
Mailing address:
  • Phone: 713-468-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberL1159
License Number StateTX

VIII. Authorized Official

Name: CESAR AUGUSTO PARRA
Title or Position: OWNER
Credential: MD
Phone: 713-468-9000