MEDICARE: RCB MEDICAL PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1124509195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RCB MEDICAL PLLC

Provider Business Mailing Address
First Line	:	179 ROLLING HILLS DR
Second Line	:
City	:	LUMBERTON
State	:	TX
Zip	:	77657-9650
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3560 DELAWARE ST STE 1202
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77706-3061
Country	:	US
Telephone Number	:	409-893-3695
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MD
Name	:	ROBERT CODEY BELL
Credential	:
Telephone Number	:	409-893-3695

Provider Enumeration Date	:	08/27/2018
Last Update Date	:	08/27/2018

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