Provider Demographics
NPI:1093930158
Name:PARTIDA, ANGELA ELIZABETH (MD,)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:ELIZABETH
Last Name:PARTIDA
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2323 S SHEPHERD DR
Mailing Address - Street 2:SUITE 1106
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-7019
Mailing Address - Country:US
Mailing Address - Phone:713-528-0426
Mailing Address - Fax:713-942-0541
Practice Address - Street 1:2323 S SHEPHERD DR
Practice Address - Street 2:SUITE 1106
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-7019
Practice Address - Country:US
Practice Address - Phone:713-528-0426
Practice Address - Fax:713-942-0541
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM63312084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX612915Medicare PIN