MEDICARE: DEANNA BELLENY R.D.

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	133V00000X	Registered Dietitian	DT82423	TX

General Provider Information

NPI Number	:	1639613094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEANNA BELLENY R.D.

Provider Business Mailing Address
First Line	:	3333 WESLAYAN ST
Second Line	:	APT 1441
City	:	HOUSTON
State	:	TX
Zip	:	77027-6359
Country	:	US
Telephone Number	:	210-392-2833
Fax Number	:

Provider Business Practice Location Address
First Line	:	3333 WESLAYAN ST
Second Line	:	APT 1441
City	:	HOUSTON
State	:	TX
Zip	:	77027-6359
Country	:	US
Telephone Number	:	210-392-2833
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2016
Last Update Date	:	12/05/2016

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Directions to “ DEANNA BELLENY R.D.” Practice Location

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