Individual
ROGER BELIZAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2004 W OHIO AVE, MIDLAND, TX 79701-5946
(432) 686-8724
(432) 686-0601
Mailing address
3702 TRINITY DR, MIDLAND, TX 79707-4700
(432) 689-7489
(432) 686-0601
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
F2169
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004402940
AETNA
TX
01
—
00ER12
BLUE CROSS BLUE SHIELD
TX
05
—
0330318-01
—
TX
Enumeration date
12/19/2006
Last updated
07/08/2007
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