# JACQUELINE BELTRAN DO PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215316039
- **Authorized official:** JACQUELINE BELTRAN DO (PRESIDENT)
- **Authorized official phone:** (713) 291-1179

## Contact information

- **Practice address:** 8615 LULLWATER DR, DALLAS, TX 75238-4754
- **Practice address phone:** (214) 221-0444
- **Practice address fax:** (214) 343-5205
- **Mailing address:** 3355 BLACKBURN ST, APT 5402, DALLAS, TX 75204-1588
- **Mailing address phone:** (713) 291-1179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | P1963 | TX | Yes |

## Other

- **Enumeration date:** 05/26/2015
- **Last updated:** 05/26/2015