MEDICARE: DR. LEON H. BELCHER II D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213EP1101X	Primary Podiatric Medicine Podiatrist	1122	TX
2	213ES0103X	Foot & Ankle Surgery Podiatrist	1122	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588793525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEON H. BELCHER II D.P.M.

Provider Business Mailing Address
First Line	:	4305 FERNWOOD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-1640
Country	:	US
Telephone Number	:	713-643-4500
Fax Number	:	713-649-1305

Provider Business Practice Location Address
First Line	:	4928 GRIGGS RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-3251
Country	:	US
Telephone Number	:	713-643-4500
Fax Number	:	713-649-1305

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	03/04/2015

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