MEDICARE: HECTOR M. VIERA, M.D., P.A.

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	2086S0122X	Plastic and Reconstructive Surgery Physician
2	207YX0007X	Plastic Surgery within the Head & Neck (Otolaryngology) Physician

General Provider Information

NPI Number	:	1831423227
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HECTOR M. VIERA, M.D., P.A.

Provider Business Mailing Address
First Line	:	2530 W HOLCOMBE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1904
Country	:	US
Telephone Number	:	713-661-5255
Fax Number	:	713-661-7683

Provider Business Practice Location Address
First Line	:	2530 W HOLCOMBE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1904
Country	:	US
Telephone Number	:	713-661-5255
Fax Number	:	713-661-7683

Authorized Official
Title or Position	:	OWNER
Name	:	DR. HECTOR G MARTINEZ-VIERA
Credential	:	M.D.
Telephone Number	:	713-661-5255

Provider Enumeration Date	:	10/01/2009
Last Update Date	:	10/01/2009

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