1073889770 NPI number — ALBERTO O. BARROSO MD PA

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073889770 NPI number — ALBERTO O. BARROSO MD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALBERTO O. BARROSO MD PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073889770
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/27/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6560 FANNIN
Provider Second Line Business Mailing Address:
SUITE 1660
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77030-2734
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-797-9595
Provider Business Mailing Address Fax Number:
713-797-0622

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6560 FANNIN ST
Provider Second Line Business Practice Location Address:
SUITE 1660
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77030-2761
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-797-9595
Provider Business Practice Location Address Fax Number:
713-797-0622
Provider Enumeration Date:
03/27/2012

Additional Information

Authorized Official

Authorized Official Last Name:
BARROSO
Authorized Official First Name:
ALBERTO
Authorized Official Middle Name:
OSWALDO
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
713-797-9595

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , with the licence number:  F6420 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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