Individual
DR. JEEATHBELL NONESUPPLIED BALBASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 TIKI DR APT 204, GALVESTON, TX 77554-7152
(409) 763-4135
Mailing address
500 TIKI DR APT 204, GALVESTON, TX 77554-7152
(409) 763-4135
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BP10019928
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2587002690
MYUTMB 2587002690-COMMERCIAL NUMBER
—
Enumeration date
06/14/2007
Last updated
07/01/2008
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