Individual
FRED JAY BRESSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6550 FANNIN ST STE 1703, HOUSTON, TX 77030-2732
(713) 441-3223
Mailing address
6550 FANNIN ST STE 1703, HOUSTON, TX 77030-2732
(713) 441-3223
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
H9304
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00K65F
BLUE CROSS/BLUE SHIELD TX
TX
05
—
099172102
—
TX
05
—
099172103
—
TX
01
—
760388511
TAX ID
—
01
—
H9304
STATE LIC
—
Enumeration date
06/29/2006
Last updated
03/17/2018
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