Provider Demographics
NPI:1710158613
Name:BELLAIRE CHILDREN'S CLINIC, P.A.
Entity Type:Organization
Organization Name:BELLAIRE CHILDREN'S CLINIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MIN-CHU
Authorized Official - Middle Name:
Authorized Official - Last Name:YEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-981-5166
Mailing Address - Street 1:8880 BELLAIRE BLVD STE H
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-4621
Mailing Address - Country:US
Mailing Address - Phone:713-981-5166
Mailing Address - Fax:713-981-5288
Practice Address - Street 1:8880 BELLAIRE BLVD STE H
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4621
Practice Address - Country:US
Practice Address - Phone:713-981-5166
Practice Address - Fax:713-981-5288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH8899261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care