Provider Demographics
NPI:1083845523
Name:PARIANI, TINA HARISH (DO)
Entity Type:Individual
Prefix:DR
First Name:TINA
Middle Name:HARISH
Last Name:PARIANI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 66308
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77266-6308
Mailing Address - Country:US
Mailing Address - Phone:281-420-8400
Mailing Address - Fax:281-420-8445
Practice Address - Street 1:4301 GARTH RD., SUITE 306 AND 400
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521
Practice Address - Country:US
Practice Address - Phone:281-420-8400
Practice Address - Fax:281-420-8445
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-31
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN7472207R00000X, 207RG0300X
TXTMBPIT#BP20035871390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program