Provider Demographics
NPI:1073889770
Name:ALBERTO O. BARROSO MD PA
Entity Type:Organization
Organization Name:ALBERTO O. BARROSO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:OSWALDO
Authorized Official - Last Name:BARROSO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-797-9595
Mailing Address - Street 1:6560 FANNIN
Mailing Address - Street 2:SUITE 1660
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2734
Mailing Address - Country:US
Mailing Address - Phone:713-797-9595
Mailing Address - Fax:713-797-0622
Practice Address - Street 1:6560 FANNIN ST
Practice Address - Street 2:SUITE 1660
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2761
Practice Address - Country:US
Practice Address - Phone:713-797-9595
Practice Address - Fax:713-797-0622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-27
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF6420207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC13216Medicare UPIN