Regine Marie Fortunov
MD | Pediatric Neonatal-Perinatal Medicine | Female
Regine Marie Fortunov, MD is a Houston, Texas based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Regine Marie Fortunov is
6701 Fannin St, Houston, Texas - 77030-2608. She can be contacted on phone at
832-824-1000.
Regine Marie Fortunov is a sole proprietor of her business.
NPI number (Unique professional ID) for Regine Marie Fortunov is
1174653026 which was assigned by NPPES on 07 Mar, 2007 and it was last updated on 10 Jun, 2014.
Regine Marie Fortunov license number is
N6299 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Texas.
Regine Marie Fortunov is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Regine Marie Fortunov basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Regine Marie Fortunov |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Regine Marie Fortunov address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 6701 Fannin St
Houston, TX, 77030-2608
United States |
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| Phone Number : | 832-824-1000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1174653026 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Mar, 2007 |
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| Last Updated On : | 10 Jun, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Regine Marie Fortunov are as mentioned. Primary taxonomy code for Regine Marie Fortunov, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | 86-0256641 | AZ |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | N6299 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Regine Marie Fortunov such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| N6299 | Other | TX | TEXAS LICENSE |
| 605-6530 | Other | AZ | NEONATAL RESUSITATIO |
| 36625 | Other | AZ | AZ MEDICAL LICENSE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2 Greenway Plz Ste 300
Houston, TX, 77046-0207
United States |
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| Phone Number : | 832-828-3660 |
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Business Location:
Patients can refer following map for directions to
Regine Marie Fortunov practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.