Basic Information
Provider Information | |||||||||
NPI: | 1760531990 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | FALBEY | ||||||||
FirstName: | FRANCIS | ||||||||
MiddleName: | BERNARD | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: | JR. | ||||||||
Credential: |   | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: | FALBEY | ||||||||
OtherFirstName: | FRANK | ||||||||
OtherMiddleName: | BERNARD | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: | 2 | ||||||||
Mailing Information | |||||||||
Address1: | 2411 FOUNTAIN VIEW DR STE 200 | ||||||||
Address2: |   | ||||||||
City: | HOUSTON | ||||||||
State: | TX | ||||||||
PostalCode: | 770574832 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7136204000 | ||||||||
FaxNumber: |   | ||||||||
Practice Location | |||||||||
Address1: | 2411 FOUNTAIN VIEW DR | ||||||||
Address2: | SUITE 200 | ||||||||
City: | HOUSTON | ||||||||
State: | TX | ||||||||
PostalCode: | 770574817 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7134584185 | ||||||||
FaxNumber: |   | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 01/09/2007 | ||||||||
LastUpdateDate: | 05/17/2011 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | H6205 | TX | Y |   | Allopathic & Osteopathic Physicians | Anesthesiology |   |
ID Information
ID | Type | State | Issuer | Description | 1976008 | 05 | LA |   | MEDICAID | 8018J6 | 01 | TX | OUT OF HARRIS - MEDICARE | OTHER | 84Y548 | 01 |   | TX-BLUE SHIELD | OTHER | 132747002 | 05 | TX |   | MEDICAID | 84Y548 | 01 | TX | IN HARRIS - MEDICARE | OTHER | 050041820 | 01 | TX | RAILROAD MEDICARE | OTHER |