Provider Demographics
NPI:1710558671
Name:FRAZIER, PARIS MONIQUE
Entity Type:Individual
Prefix:
First Name:PARIS
Middle Name:MONIQUE
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 SAGE RD APT 1224
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-6320
Mailing Address - Country:US
Mailing Address - Phone:225-439-1919
Mailing Address - Fax:
Practice Address - Street 1:3000 SAGE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-6317
Practice Address - Country:US
Practice Address - Phone:225-439-1919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)