Provider Demographics
NPI:1285864157
Name:GHIRLANDA, BARBARA A (PA-C)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:GHIRLANDA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:465 W PARKER RD
Mailing Address - Street 2:#A-100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77091-3202
Mailing Address - Country:US
Mailing Address - Phone:713-884-8090
Mailing Address - Fax:
Practice Address - Street 1:465 WEST PARKER ROAD
Practice Address - Street 2:#A-100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091
Practice Address - Country:US
Practice Address - Phone:713-884-8090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-24
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA04160363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical