Healthcare Provider Details

I. General information

NPI: 1356709810
Provider Name (Legal Business Name): BELINDA GAIL ELLIS NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BELINDA GAIL VOICE

II. Dates (important events)

Enumeration Date: 01/29/2016
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 DENVER TRL
AZLE TX
76020-3614
US

IV. Provider business mailing address

18124 GREAT BASIN AVENUE
PFLUGERVILLE TX
78660
US

V. Phone/Fax

Practice location:
  • Phone: 817-820-4906
  • Fax: 817-820-4815
Mailing address:
  • Phone: 737-210-9558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP129166
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: