Healthcare Provider Details

I. General information

NPI: 1033376983
Provider Name (Legal Business Name): JASON CHRISTOPHER BELL D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2008
Last Update Date: 02/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1904 PINE ST STE 200
ABILENE TX
79601-2450
US

IV. Provider business mailing address

PO BOX 1198
ABILENE TX
79604-1198
US

V. Phone/Fax

Practice location:
  • Phone: 325-670-5570
  • Fax: 325-670-4024
Mailing address:
  • Phone: 325-670-4372
  • Fax: 325-670-4040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number2012016161
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberN9808
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: