Provider Demographics
NPI:1285829838
Name:HOUSTON PRIMARY CARE, P.A.
Entity Type:Organization
Organization Name:HOUSTON PRIMARY CARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAULO
Authorized Official - Middle Name:R
Authorized Official - Last Name:BETTEGA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-789-5588
Mailing Address - Street 1:7900 WESTGLEN DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-6410
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?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty