Provider Demographics
NPI:1578595658
Name:WECHSLER, BARBARA C (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:C
Last Name:WECHSLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4619 BRAEBURN DR
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-5501
Mailing Address - Country:US
Mailing Address - Phone:832-203-8033
Mailing Address - Fax:713-798-7259
Practice Address - Street 1:TEXAS CHILDREN'S HOSPITAL 6621 FANNIN
Practice Address - Street 2:WEST TOWER 21ST FLOOR RM 329
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:832-826-6106
Practice Address - Fax:832-825-5242
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350851082081P0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX191978902Medicaid
TX191978903Medicaid
OH2519993Medicaid
TX191978903Medicaid
TX8L0643Medicare PIN
TX8K4263Medicare PIN
TX8K3444Medicare PIN