MEDICARE: DR. HOWARD ROBERT BERNSTEIN M.D.

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
1	207Q00000X	Family Medicine Physician	E9536	TX

General Provider Information

NPI Number	:	1588715494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOWARD ROBERT BERNSTEIN M.D.

Provider Business Mailing Address
First Line	:	9055 KATY FWY
Second Line	:	STE 200
City	:	HOUSTON
State	:	TX
Zip	:	77024-1629
Country	:	US
Telephone Number	:	713-729-2875
Fax Number	:	713-461-5307

Provider Business Practice Location Address
First Line	:	3339 FAIRVIEW ST
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77504-1903
Country	:	US
Telephone Number	:	713-461-2915
Fax Number	:	713-461-5307

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	06/08/2017

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