Provider Demographics
NPI:1003310913
Name:HALTER INC
Entity Type:Organization
Organization Name:HALTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:THERESA
Authorized Official - Last Name:PIGOZZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-508-6501
Mailing Address - Street 1:PO BOX 5885
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77491-5885
Mailing Address - Country:US
Mailing Address - Phone:281-508-6501
Mailing Address - Fax:
Practice Address - Street 1:17410 CLAY RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7708
Practice Address - Country:US
Practice Address - Phone:281-508-6501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-23
Last Update Date:2018-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health