Provider Demographics
NPI:1346761665
Name:BRIDGES, RAYVEN LEIGH (DPM)
Entity Type:Individual
Prefix:DR
First Name:RAYVEN
Middle Name:LEIGH
Last Name:BRIDGES
Suffix:
Gender:F
Credentials:DPM
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Mailing Address - Street 1:1401 ST JOSEPH PKWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-8301
Mailing Address - Country:US
Mailing Address - Phone:713-657-7234
Mailing Address - Fax:713-657-7234
Practice Address - Street 1:24022 CINCO VILLAGE CENTER BLVD STE 240
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-3393
Practice Address - Country:US
Practice Address - Phone:832-376-8600
Practice Address - Fax:832-376-8686
Is Sole Proprietor?:No
Enumeration Date:2017-06-28
Last Update Date:2022-08-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX3032213ES0131X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery