Provider Demographics
NPI:1710070065
Name:BERNARD HIMEL BA MD PA
Entity Type:Organization
Organization Name:BERNARD HIMEL BA MD PA
Other - Org Name:BERNARD HIMEL MD PA
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HIMEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-955-7301
Mailing Address - Street 1:21216 NORTHWEST FRWY
Mailing Address - Street 2:SUITE 260
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429
Mailing Address - Country:US
Mailing Address - Phone:281-955-7301
Mailing Address - Fax:281-955-7302
Practice Address - Street 1:21216 NORTHWEST FRWY
Practice Address - Street 2:SUITE 260
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429
Practice Address - Country:US
Practice Address - Phone:281-955-7301
Practice Address - Fax:281-955-7302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-01
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF3498208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00Y949Medicare PIN