Healthcare Provider Details

I. General information

NPI: 1265788764
Provider Name (Legal Business Name): BELYEU MEDICAL CARE PROVIDERS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2012
Last Update Date: 09/06/2023
Certification Date: 08/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 E ABRAM ST STE A
ARLINGTON TX
76010-1254
US

IV. Provider business mailing address

1790 BRAMSHAW TRL
FARMERS BRANCH TX
75234-1249
US

V. Phone/Fax

Practice location:
  • Phone: 817-226-1080
  • Fax: 888-456-4198
Mailing address:
  • Phone: 214-287-9761
  • Fax: 888-456-4198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number779652
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number779652
License Number StateTX

VIII. Authorized Official

Name: MRS. MEREDITH ANASTASIA BELYEU-GUINN
Title or Position: OWNER
Credential: FNP-C
Phone: 214-287-9761