Provider Demographics
NPI:1225427503
Name:BEHAVIORAL MEDICINE OF HOUSTON,PA
Entity Type:Organization
Organization Name:BEHAVIORAL MEDICINE OF HOUSTON,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULO
Authorized Official - Middle Name:
Authorized Official - Last Name:BETTEGA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-789-5588
Mailing Address - Street 1:7900 WESTGLEND DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063
Mailing Address - Country:US
Mailing Address - Phone:713-789-5588
Mailing Address - Fax:
Practice Address - Street 1:7900 WESTGLEN DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-6410
Practice Address - Country:US
Practice Address - Phone:713-789-5588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEHAVIORAL MEDICINE OF HOUSTON,PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-01-09
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3858101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty