Provider Demographics
NPI:1093151920
Name:BLESSING, ADRIENNE LORD (MD)
Entity Type:Individual
Prefix:MRS
First Name:ADRIENNE
Middle Name:LORD
Last Name:BLESSING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ADRIENNE
Other - Middle Name:MARIE
Other - Last Name:LORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6704 STERLING RIDGE DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382-2799
Mailing Address - Country:US
Mailing Address - Phone:281-737-2611
Mailing Address - Fax:936-273-2100
Practice Address - Street 1:6704 STERLING RIDGE DR
Practice Address - Street 2:SUITE A
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382-2799
Practice Address - Country:US
Practice Address - Phone:281-737-2611
Practice Address - Fax:936-273-2100
Is Sole Proprietor?:No
Enumeration Date:2013-05-19
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ7149207Q00000X
390200000X
TX390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8FZ831OtherBCBS
TX361737501Medicaid
TX8FZ831OtherBCBS