Provider Demographics
NPI:1992255368
Name:PARKAR, JUMANA (CPM, LM)
Entity type:Individual
Prefix:
First Name:JUMANA
Middle Name:
Last Name:PARKAR
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13523 HARGRAVE RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-3829
Mailing Address - Country:US
Mailing Address - Phone:281-206-4496
Mailing Address - Fax:
Practice Address - Street 1:6617 FM 2920 RD STE 200
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-2636
Practice Address - Country:US
Practice Address - Phone:281-206-4496
Practice Address - Fax:281-206-4487
Is Sole Proprietor?:No
Enumeration Date:2016-10-10
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99217176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX38754880OtherDRIVERSLICENSE