Provider Demographics
NPI:1417169194
Name:BARTHOLOMEW, VENESSA C (DC)
Entity Type:Individual
Prefix:DR
First Name:VENESSA
Middle Name:C
Last Name:BARTHOLOMEW
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16626 SEA LARK RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77062-5819
Mailing Address - Country:US
Mailing Address - Phone:281-488-0111
Mailing Address - Fax:
Practice Address - Street 1:16626 SEA LARK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77062-5819
Practice Address - Country:US
Practice Address - Phone:281-488-0111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2020-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11567111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor