Provider Demographics
NPI:1538291109
Name:TROWBRIDGE, JOHN PARKS (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PARKS
Last Name:TROWBRIDGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JOHN
Other - Middle Name:PARKS
Other - Last Name:TROWBRIDGE
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:9816 MEMORIAL BLVD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4255
Mailing Address - Country:US
Mailing Address - Phone:281-540-2329
Mailing Address - Fax:281-540-4329
Practice Address - Street 1:9816 MEMORIAL BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4255
Practice Address - Country:US
Practice Address - Phone:281-540-2329
Practice Address - Fax:281-540-4329
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF00522083T0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083T0002XAllopathic & Osteopathic PhysiciansPreventive MedicineMedical Toxicology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB27099Medicare UPIN