Healthcare Provider Details

I. General information

NPI: 1639396849
Provider Name (Legal Business Name): MELANIE M BELT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 02/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4315 JAMES CASEY ST SUITE 200
AUSTIN TX
78745-3365
US

IV. Provider business mailing address

4515 SETON CENTER PKWY SUITE 215-CREDENTIALING
AUSTIN TX
78759-5290
US

V. Phone/Fax

Practice location:
  • Phone: 512-383-9752
  • Fax: 512-406-7333
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberM6043
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: