Individual
MRS. WANDA BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5907 W. MARSHALL AVE, LONGVIEW, TX 75604
(903) 759-6500
(903) 759-6500
Mailing address
5907 W. MARSHALL AVE, LONGVIEW, TX 75604
(903) 759-6500
(903) 759-6500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1110948
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0631053-03
—
TX
05
—
063105302
—
TX
Enumeration date
03/30/2007
Last updated
07/10/2010
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