MEDICARE: MS. BETTY ANNE HALPERN MD

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	BCBS

General Provider Information

NPI Number	:	1942292685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BETTY ANNE HALPERN MD

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	:	#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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	07/08/2007

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