Individual
BRIDGET R. BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1333 MOURSUND ST # A-220, HOUSE STAFF & GME, HOUSTON, TX 77030-3405
(713) 797-5945
Mailing address
1333 MOURSUND ST # A-220, HOUSE STAFF & GME, HOUSTON, TX 77030-3405
(713) 797-5945
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP2-0026062
INSTITUTIONAL PERMIT
—
Enumeration date
06/11/2007
Last updated
06/30/2009
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