Provider Demographics
NPI:1912297672
Name:BELLAIRE CARE CLINIC, P.A.
Entity Type:Organization
Organization Name:BELLAIRE CARE CLINIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:GURDIP
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTTAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-272-9297
Mailing Address - Street 1:6006 BELLAIRE BLVD
Mailing Address - Street 2:SUITE # 230
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-5404
Mailing Address - Country:US
Mailing Address - Phone:713-272-9297
Mailing Address - Fax:713-272-9204
Practice Address - Street 1:6006 BELLAIRE BLVD
Practice Address - Street 2:SUITE # 230
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-5404
Practice Address - Country:US
Practice Address - Phone:713-272-9297
Practice Address - Fax:713-272-9204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-14
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty