MEDICARE: ELLEN MARIE BELK DC

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	111N00000X	Chiropractor	14022	TX

General Provider Information

NPI Number	:	1720544257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLEN MARIE BELK DC

Provider Business Mailing Address
First Line	:	5323 MULBERRY GROVE DR
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77345-1442
Country	:	US
Telephone Number	:	662-392-7650
Fax Number	:

Provider Business Practice Location Address
First Line	:	6730 ATASCOCITA RD STE 108
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-1995
Country	:	US
Telephone Number	:	281-812-4009
Fax Number	:

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

Provider Enumeration Date	:	02/20/2019
Last Update Date	:	03/20/2020

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Directions to “ ELLEN MARIE BELK DC” Practice Location

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