Individual
DONNA BLOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 873-8890
Mailing address
6620 MAIN ST, HOUSTON, TX 77030-2348
(713) 798-6198
(713) 798-4688
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
J3599
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
J3599
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136253506
—
TX
Enumeration date
10/17/2006
Last updated
08/08/2024
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