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1710968714

NPI Code Detail

MEDICARE: ALBERTO D CUELLAR MD

MEDICARE: ALBERTO D CUELLAR MD

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	207X00000X	Orthopaedic Surgery Physician	G88816	TX
2	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	G8816	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	G8816	OTHER	TX	STATE LICENSE
3	A0061943	OTHER	TX	DPS

General Provider Information

NPI Number	:	1710968714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALBERTO D CUELLAR MD

Provider Business Mailing Address
First Line	:	PO BOX 4356
Second Line	:	DEPT 665
City	:	HOUSTON
State	:	TX
Zip	:	77210-4356
Country	:	US
Telephone Number	:	281-440-6960
Fax Number	:	281-440-6205

Provider Business Practice Location Address
First Line	:	17270 RED OAK DR
Second Line	:	STE 200
City	:	HOUSTON
State	:	TX
Zip	:	77090-2632
Country	:	US
Telephone Number	:	281-440-6960
Fax Number	:	281-440-6205

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	03/07/2023

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Directions to “ ALBERTO D CUELLAR MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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