Provider Demographics
NPI:1457619330
Name:BEGNAUD, CHARLOTTE A (CP, LPO)
Entity Type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:A
Last Name:BEGNAUD
Suffix:
Gender:F
Credentials:CP, LPO
Other - Prefix:
Other - First Name:CHARLOTTE
Other - Middle Name:A
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11155 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-5600
Mailing Address - Country:US
Mailing Address - Phone:713-474-4171
Mailing Address - Fax:713-747-4249
Practice Address - Street 1:11155 MAIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-5600
Practice Address - Country:US
Practice Address - Phone:713-474-4171
Practice Address - Fax:713-747-4249
Is Sole Proprietor?:No
Enumeration Date:2012-04-27
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1486224P00000X
TX1527390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program