Provider Demographics
NPI:1699811604
Name:BELLAIRE MEDICAL CARE GROUP, LLP
Entity Type:Organization
Organization Name:BELLAIRE MEDICAL CARE GROUP, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALFREDO
Authorized Official - Middle Name:CLAUDIO
Authorized Official - Last Name:GUELER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-778-6900
Mailing Address - Street 1:5555 WEST LOOP S STE 635
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2106
Mailing Address - Country:US
Mailing Address - Phone:832-778-6900
Mailing Address - Fax:
Practice Address - Street 1:5555 WEST LOOP S STE 635
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2106
Practice Address - Country:US
Practice Address - Phone:832-778-6900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB23168Medicare UPIN