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NPI Code Detail

MEDICARE: BETEL HAILEYES

MEDICARE: BETEL HAILEYES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1346032596
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETEL HAILEYES
Provider Business Mailing Address
First Line : 11731 SPRING GROVE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77099-5024
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11731 SPRING GROVE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77099-5024
Country : US
Telephone Number : 346-610-3596
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2025
Last Update Date : 05/21/2025

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Directions to “ BETEL HAILEYES ” Practice Location

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