MEDICARE: JESSICA M. BELZ, M.D., 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	208200000X	Plastic Surgery Physician	P6782	TX

General Provider Information

NPI Number	:	1447629720
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JESSICA M. BELZ, M.D., PLLC

Provider Business Mailing Address
First Line	:	207 W SUNSET RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-2634
Country	:	US
Telephone Number	:	210-497-7100
Fax Number	:	210-878-4011

Provider Business Practice Location Address
First Line	:	207 W SUNSET RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-2634
Country	:	US
Telephone Number	:	210-497-7100
Fax Number	:	210-878-4011

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JESSICA BELZ
Credential	:	M.D.
Telephone Number	:	210-497-7100

Provider Enumeration Date	:	09/17/2015
Last Update Date	:	01/02/2019

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