Provider Demographics
NPI:1043409931
Name:PARISH, TEALA NGO
Entity Type:Individual
Prefix:MRS
First Name:TEALA
Middle Name:NGO
Last Name:PARISH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4545 BISSONNET ST
Mailing Address - Street 2:SUITE 250
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3121
Mailing Address - Country:US
Mailing Address - Phone:713-669-8635
Mailing Address - Fax:713-218-7593
Practice Address - Street 1:4545 BISSONNET ST
Practice Address - Street 2:SUITE 250
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3121
Practice Address - Country:US
Practice Address - Phone:713-669-8635
Practice Address - Fax:713-218-7593
Is Sole Proprietor?:No
Enumeration Date:2007-10-17
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100846235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist