Healthcare Provider Details

I. General information

NPI: 1801843487
Provider Name (Legal Business Name): ELBERT MARION BELK III MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 09/14/2025
Certification Date: 09/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10710 MCPHERSON RD STE 100
LAREDO TX
78045-6363
US

IV. Provider business mailing address

10710 MCPHERSON RD STE 100
LAREDO TX
78045-6363
US

V. Phone/Fax

Practice location:
  • Phone: 956-267-9892
  • Fax: 956-267-9893
Mailing address:
  • Phone: 956-267-9892
  • Fax: 956-267-9893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberM8524
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: