MEDICARE: HALWES, LLC

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	291U00000X	Clinical Medical Laboratory		TX

General Provider Information

NPI Number	:	1124493473
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HALWES, LLC

Provider Business Mailing Address
First Line	:	5431 BARKER CYPRESS RD
Second Line	:	STE. 1400
City	:	HOUSTON
State	:	TX
Zip	:	77084-1993
Country	:	US
Telephone Number	:	281-656-8734
Fax Number	:	281-990-6834

Provider Business Practice Location Address
First Line	:	5431 BARKER CYPRESS RD
Second Line	:	STE. 1400
City	:	HOUSTON
State	:	TX
Zip	:	77084-1993
Country	:	US
Telephone Number	:	281-656-8734
Fax Number	:	281-990-6834

Authorized Official
Title or Position	:	CEO
Name	:	MR. VIET D NGUYEN
Credential	:
Telephone Number	:	832-503-9334

Provider Enumeration Date	:	12/10/2015
Last Update Date	:	12/10/2015

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