Provider Demographics
NPI:1306070123
Name:BRITTNEY M LAPUERTA MD PA
Entity type:Organization
Organization Name:BRITTNEY M LAPUERTA MD PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRITTNEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAPUERTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-935-8949
Mailing Address - Street 1:3722 ABBEYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-5903
Mailing Address - Country:US
Mailing Address - Phone:281-935-8949
Mailing Address - Fax:
Practice Address - Street 1:3722 ABBEYWOOD DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-5903
Practice Address - Country:US
Practice Address - Phone:281-935-8949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-07
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0049NDOtherBLUE CROSS/BLUE SHIELD
TX0A4724Medicare PIN