Individual
MATTHEW BELISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
5201 HARRY HINES BLVD, PHARMACY DEPARTMENT, DALLAS, TX 75235-7708
(972) 834-6694
Mailing address
5201 HARRY HINES BLVD, DALLAS, TX 75235-7708
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
55251
TX
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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