Individual
BELINDA A. VICIOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-0624
(214) 645-0078
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0624
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
J9416
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139324103
—
TX
Enumeration date
03/23/2006
Last updated
09/19/2011
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