Individual
BRIANA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
10125 KATY FWY STE 100, HOUSTON, TX 77024-1287
(713) 486-1700
Mailing address
6400 FANNIN ST STE 1700, HOUSTON, TX 77030-1526
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12660
TX
Other
Enumeration date
07/19/2016
Last updated
07/28/2022
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