Individual
BRENT C. BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
6565 FANNIN ST # AX121B, HOUSTON, TX 77030-2703
(713) 790-2637
Mailing address
6565 FANNIN ST # AX121B, HOUSTON, TX 77030-2703
(713) 790-2637
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00529
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114242856
BLUE CROSS BLUE SHIELD
TX
05
—
281958301
—
TX
Enumeration date
04/06/2010
Last updated
09/27/2011
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