Provider Demographics
NPI:1518201342
Name:BELLOWS, PATRICIA HARRIS (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:HARRIS
Last Name:BELLOWS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6550 FANNIN ST
Mailing Address - Street 2:SUITE 2221
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2717
Mailing Address - Country:US
Mailing Address - Phone:713-797-9666
Mailing Address - Fax:713-590-6870
Practice Address - Street 1:6550 FANNIN ST
Practice Address - Street 2:SUITE 2221
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2717
Practice Address - Country:US
Practice Address - Phone:713-797-9666
Practice Address - Fax:713-590-6870
Is Sole Proprietor?:No
Enumeration Date:2012-11-16
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ4723207V00000X
TXBP10039744207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX349355301Medicaid
TX349355302Medicaid
TX8FX374OtherBLUE CROSS BLUE SHIELD
TX8FF968OtherBLUE CROSS BLUE SHIELD
TX428373YMVQMedicare PIN
TX8FF968OtherBLUE CROSS BLUE SHIELD