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NPI Code Detail

MEDICARE: PAULO R. BETTEGA MD PA

MEDICARE: PAULO R. BETTEGA MD PA
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
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1174661532
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAULO R. BETTEGA MD PA
Provider Business Mailing Address
First Line : PO BOX 540088
Second Line :
City : HOUSTON
State : TX
Zip : 77254-0088
Country : US
Telephone Number : 713-850-1190
Fax Number : 713-850-1327
Provider Business Practice Location Address
First Line : 6700 BELLAIRE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77074-4906
Country : US
Telephone Number : 713-850-1190
Fax Number : 713-850-1327
Authorized Official
Title or Position : DIRECTOR
Name : PAULO R BETTEGA
Credential : MD
Telephone Number : 713-850-1190
Provider Enumeration Date : 02/01/2007
Last Update Date : 11/09/2007

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