Provider Demographics
NPI:1548686694
Name:GHALY, PATRICIA (CPM, LM)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:GHALY
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 1:12850 JONES RD STE 105
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4956
Mailing Address - Country:US
Mailing Address - Phone:281-469-0093
Mailing Address - Fax:877-479-4937
Practice Address - Street 1:12850 JONES RD STE 105
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4956
Practice Address - Country:US
Practice Address - Phone:281-469-0093
Practice Address - Fax:877-479-4937
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-13
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99199176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife