Provider Demographics
NPI:1194776567
Name:O'BRIEN, HERBERT LEWIS (MD)
Entity type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:LEWIS
Last Name:O'BRIEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 LEHMAN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-1463
Mailing Address - Country:US
Mailing Address - Phone:713-957-3001
Mailing Address - Fax:713-957-0551
Practice Address - Street 1:710 FM 1960 RD W
Practice Address - Street 2:STE.220
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3420
Practice Address - Country:US
Practice Address - Phone:281-440-2809
Practice Address - Fax:281-397-2745
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE9892208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXZOOOT64KIBMedicaid
TXE77035Medicare UPIN