# WEST BELLFORT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clinica Rosa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356524698
- **Authorized official:** MS. SANDRA ANN SHIRAH (CRED SUP)
- **Authorized official phone:** (281) 646-1935

## Contact information

- **Practice address:** 900 WAYSIDE, HOUSTON, TX 77011-2518
- **Practice address phone:** (713) 921-7246
- **Practice address fax:** (713) 921-7249
- **Mailing address:** 900 WAYSIDE, HOUSTON, TX 77011-2518
- **Mailing address phone:** (281) 646-1935
- **Mailing address fax:** (281) 646-0927

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | F6356 | TX | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/10/2007
- **Last updated:** 06/17/2008