Healthcare Provider Details

I. General information

NPI: 1104334747
Provider Name (Legal Business Name): BELINDA OBRIEN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2018
Last Update Date: 12/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 N INTERSTATE 35 STE 302
DENTON TX
76201-5151
US

IV. Provider business mailing address

2900 N INTERSTATE 35 STE 302
DENTON TX
76201-5151
US

V. Phone/Fax

Practice location:
  • Phone: 940-565-9118
  • Fax: 940-383-2512
Mailing address:
  • Phone: 940-565-9118
  • Fax: 940-383-2512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP136583
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: