MEDICARE: BELLAIRE CARE CLINIC, P.A.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	207R00000X	Internal Medicine Physician
3	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician
4	208D00000X	General Practice Physician
5	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1912297672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELLAIRE CARE CLINIC, P.A.

Provider Business Mailing Address
First Line	:	6006 BELLAIRE BLVD
Second Line	:	SUITE # 230
City	:	HOUSTON
State	:	TX
Zip	:	77081-5404
Country	:	US
Telephone Number	:	713-272-9297
Fax Number	:	713-272-9204

Provider Business Practice Location Address
First Line	:	6006 BELLAIRE BLVD
Second Line	:	SUITE # 230
City	:	HOUSTON
State	:	TX
Zip	:	77081-5404
Country	:	US
Telephone Number	:	713-272-9297
Fax Number	:	713-272-9204

Authorized Official
Title or Position	:	CEO
Name	:	DR. GURDIP BUTTAR
Credential	:	M.D.
Telephone Number	:	713-272-9297

Provider Enumeration Date	:	04/14/2011
Last Update Date	:	04/14/2011

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Directions to “BELLAIRE CARE CLINIC, P.A. ” Practice Location

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