Provider Demographics
NPI:1881182368
Name:SERRANO-CLOWERS, BETHZAIDA (MD)
Entity Type:Individual
Prefix:DR
First Name:BETHZAIDA
Middle Name:
Last Name:SERRANO-CLOWERS
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 1:1218 BELGRAVIA WAY
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-1683
Mailing Address - Country:US
Mailing Address - Phone:832-652-7582
Mailing Address - Fax:
Practice Address - Street 1:1200 TEXAS AVENUE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77052
Practice Address - Country:US
Practice Address - Phone:713-229-4188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-30
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10642207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine