Healthcare Provider Details

I. General information

NPI: 1427005453
Provider Name (Legal Business Name): ADELAIDE A HEBERT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 12/18/2023
Certification Date: 12/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 WEST LOOP S STE 200A
BELLAIRE TX
77401-3535
US

IV. Provider business mailing address

PO BOX 201088
HOUSTON TX
77216-1088
US

V. Phone/Fax

Practice location:
  • Phone: 713-500-8260
  • Fax: 713-524-3432
Mailing address:
  • Phone: 713-500-3500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207NP0225X
TaxonomyPediatric Dermatology Physician
License NumberG1035
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: