Provider Demographics
NPI:1588978894
Name:HIRSCH, CARLA D (PA-C)
Entity type:Individual
Prefix:MS
First Name:CARLA
Middle Name:D
Last Name:HIRSCH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:CARLA
Other - Middle Name:D
Other - Last Name:BAILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:6400 FANNIN ST STE 2510
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1537
Mailing Address - Country:US
Mailing Address - Phone:713-704-1198
Mailing Address - Fax:713-704-1796
Practice Address - Street 1:4141 VISTA RD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-2113
Practice Address - Country:US
Practice Address - Phone:713-947-3100
Practice Address - Fax:713-947-3100
Is Sole Proprietor?:No
Enumeration Date:2010-07-28
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical