Provider Demographics
NPI:1942292685
Name:HALPERN, BETTY ANNE (MD)
Entity Type:Individual
Prefix:MS
First Name:BETTY
Middle Name:ANNE
Last Name:HALPERN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:IRENE
Other - Middle Name:H
Other - Last Name:FUENTEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:& ASSOC PA INC
Mailing Address - Street 1:2201 W HOLCOMBE BLVD
Mailing Address - Street 2:SUITE 330
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2096
Mailing Address - Country:US
Mailing Address - Phone:713-796-0577
Mailing Address - Fax:713-797-1549
Practice Address - Street 1:2201 W HOLCOMBE BLVD
Practice Address - Street 2:#330
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2096
Practice Address - Country:US
Practice Address - Phone:713-796-0577
Practice Address - Fax:713-797-1549
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF6702207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX83G921OtherBCBS
TX83G921OtherBCBS
C16499Medicare UPIN