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Individual

BETHANY GRACE SPHAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP136529
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
391825201
TX
01
391825202
CSHCN MEDICAID
TX
01
8KC845
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/12/2018
Last updated
02/07/2019
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