Individual
BELLATRIX MARGARITA VIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
104 E MAIN ST, HUMBLE, TX 77338-4513
(281) 548-7334
(281) 548-7363
Mailing address
122 W JOHN CARPENTER FWY STE 420, IRVING, TX 75039-2014
(972) 957-3000
(972) 957-3005
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R1473
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2014
Last updated
09/30/2020
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