Individual
DR. MARY BELVA BRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1615 HOSPITAL PKWY, SUITE 109, BEDFORD, TX 76022-5934
(817) 662-0008
(817) 391-0030
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G2110
TX
208600000X
Surgery Physician
G2110
TX
2086X0206X
Surgical Oncology Physician
Primary
G2110
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098287803
—
TX
05
—
098287804
—
TX
05
—
098287805
—
TX
01
—
8G1590
BCBS
TX
Enumeration date
05/11/2006
Last updated
05/17/2023
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