MEDICARE: HALPERN, FUENTEZ & ASSOC. P.A., INC

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	207R00000X	Internal Medicine Physician	F6702	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	83G921	OTHER	TX	BC/BS

General Provider Information

NPI Number	:	1700806221
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HALPERN, FUENTEZ & ASSOC. P.A., INC

Provider Business Mailing Address
First Line	:	2201 W HOLCOMBE BLVD
Second Line	:	SUITE 330
City	:	HOUSTON
State	:	TX
Zip	:	77030-2096
Country	:	US
Telephone Number	:	713-796-0577
Fax Number	:	713-797-1549

Provider Business Practice Location Address
First Line	:	2201 W HOLCOMBE BLVD
Second Line	:	SUITE 330
City	:	HOUSTON
State	:	TX
Zip	:	77030-2096
Country	:	US
Telephone Number	:	713-796-0577
Fax Number	:	713-797-1549

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	BETTY ANNE HALPERN
Credential	:	M.D.,F.A.C.P.
Telephone Number	:	713-796-0577

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	10/12/2007

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Directions to “HALPERN, FUENTEZ & ASSOC. P.A., INC ” Practice Location

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