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NPI Code Detail

MEDICARE: MELANIE K BELL P.A.

MEDICARE: MELANIE K BELL P.A.
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
1363A00000XPhysician AssistantPA03511TX
2363AM0700XMedical Physician AssistantPA03511TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PA03511OTHERTXSTATE LICENSE

General Provider Information

NPI Number : 1639396781
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE K BELL P.A.
Provider Business Mailing Address
First Line : 2501 JIMMY JOHNSON BLVD STE 501B
Second Line :
City : PORT ARTHUR
State : TX
Zip : 77640-2013
Country : US
Telephone Number : 409-729-2555
Fax Number : 409-729-2542
Provider Business Practice Location Address
First Line : 2501 JIMMY JOHNSON BLVD STE 501B
Second Line :
City : PORT ARTHUR
State : TX
Zip : 77640-2013
Country : US
Telephone Number : 409-729-2555
Fax Number : 409-729-2542
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2007
Last Update Date : 08/15/2024

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Directions to “ MELANIE K BELL P.A.” Practice Location

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