Provider Demographics
NPI:1720187818
Name:DONALD A HALBARDIER P.C.
Entity type:Organization
Organization Name:DONALD A HALBARDIER P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:A
Authorized Official - Last Name:HALBARDIER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-440-0814
Mailing Address - Street 1:5050 FM 1960 WEST #126
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069
Mailing Address - Country:US
Mailing Address - Phone:281-440-0814
Mailing Address - Fax:281-440-6130
Practice Address - Street 1:5050 FM 1960 WEST #126
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069
Practice Address - Country:US
Practice Address - Phone:281-440-0814
Practice Address - Fax:281-440-6130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX133295908Medicaid