Provider Demographics
NPI:1780949834
Name:PARE, ANNE (CO, LO)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:PARE
Suffix:
Gender:F
Credentials:CO, LO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 SPRING HILL DRIVE
Mailing Address - Street 2:SUITE 335
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-2388
Mailing Address - Country:US
Mailing Address - Phone:281-296-8999
Mailing Address - Fax:281-296-8989
Practice Address - Street 1:230 SPRING HILL DRIVE
Practice Address - Street 2:SUITE 335
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-2388
Practice Address - Country:US
Practice Address - Phone:281-296-8999
Practice Address - Fax:281-296-8989
Is Sole Proprietor?:No
Enumeration Date:2012-07-05
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX188222Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist