Healthcare Provider Details

I. General information

NPI: 1447317342
Provider Name (Legal Business Name): ALDO FERNANDO BEJARANO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 02/21/2024
Certification Date: 02/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3326 WATTERS RD BLDG D
PASADENA TX
77504-2053
US

IV. Provider business mailing address

P.O. BOX 2264 SUITE 230
PEARLAND TX
77588
US

V. Phone/Fax

Practice location:
  • Phone: 832-386-9200
  • Fax: 832-386-9203
Mailing address:
  • Phone: 832-386-9200
  • Fax: 832-386-9203

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberK0631
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: