=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578595658
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BARBARA C WECHSLER MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/07/2006
-----------------------------------------------------
Last Update Date | 09/30/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | TEXAS CHILDREN'S HOSPITAL 6621 FANNIN WEST TOWER 21ST FLOOR RM 329
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77030
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-826-6106
-----------------------------------------------------
Fax | 832-825-5242
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4619 BRAEBURN DR
-----------------------------------------------------
City | BELLAIRE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77401-5501
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-203-8033
-----------------------------------------------------
Fax | 713-798-7259
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2081P0010X
-----------------------------------------------------
Taxonomy Name | Pediatric Rehabilitation Medicine Physician
-----------------------------------------------------
License Number | 35085108
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------