MEDICARE: KENDRA JENSEN BELFI M.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	207R00000X	Internal Medicine Physician	D9357	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00612359	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992705560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENDRA JENSEN BELFI M.D.

Provider Business Mailing Address
First Line	:	9003 AIRPORT FWY
Second Line	:	SUITE 300
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-7770
Country	:	US
Telephone Number	:	817-514-5200
Fax Number	:	817-514-5210

Provider Business Practice Location Address
First Line	:	909 9TH AVE
Second Line	:	STE 300
City	:	FORT WORTH
State	:	TX
Zip	:	76104-3903
Country	:	US
Telephone Number	:	817-336-7191
Fax Number	:	817-877-4015

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

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	09/22/2011

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