Provider Demographics
NPI: | 1417489451 |
---|---|
Name: | BERTSCHY, CALLI ANN (DO) |
Entity type: | Individual |
Prefix: | DR |
First Name: | CALLI |
Middle Name: | ANN |
Last Name: | BERTSCHY |
Suffix: | |
Gender: | F |
Credentials: | DO |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 6431 FANNIN STREET |
Mailing Address - Street 2: | MSB 1.255E |
Mailing Address - City: | HOUSTON |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 77030 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 713-500-7955 |
Mailing Address - Fax: | 135-006-8297 |
Practice Address - Street 1: | 6431 FANNIN ST. |
Practice Address - Street 2: | SUITE MSB 1.255E |
Practice Address - City: | HOUSTON |
Practice Address - State: | TX |
Practice Address - Zip Code: | 77030 |
Practice Address - Country: | US |
Practice Address - Phone: | 832-325-7222 |
Practice Address - Fax: | 713-500-6829 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2017-03-29 |
Last Update Date: | 2024-09-01 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | U3788 | 207RC0200X, 207RP1001X, 207RS0012X, 207RP1001X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
No | 207RC0200X | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine |
Yes | 207RS0012X | Allopathic & Osteopathic Physicians | Internal Medicine | Sleep Medicine |