MEDICARE: DR. HEATHER DEANN COLMENTER 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	207L00000X	Anesthesiology Physician	BP1-0022037	TX
2	207L00000X	Anesthesiology Physician	N2036	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2790064935	OTHER		MYUTMB 2790064935-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1750585311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEATHER DEANN COLMENTER MD

Provider Business Mailing Address
First Line	:	12 LAURELWOOD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-4375
Country	:	US
Telephone Number	:	832-455-3939
Fax Number	:

Provider Business Practice Location Address
First Line	:	18123 UPPER BAY RD STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3875
Country	:	US
Telephone Number	:	281-523-2000
Fax Number	:

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

Provider Enumeration Date	:	06/14/2007
Last Update Date	:	05/18/2026

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