Provider Demographics
NPI:1265631345
Name:ALBERT, ALBERT C (OTR)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:C
Last Name:ALBERT
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4723 ORKNEY DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2809
Mailing Address - Country:US
Mailing Address - Phone:713-960-3253
Mailing Address - Fax:281-710-7866
Practice Address - Street 1:4723 ORKNEY DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-2809
Practice Address - Country:US
Practice Address - Phone:713-960-3253
Practice Address - Fax:281-710-7866
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106283225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist