Provider Information for 1679221451
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ALBERT LEE BELL
Sex: Male
NPI: 1679221451
Last Updated: 2022-03-11
Certification Date: 2022-03-11
Certification Date: 2022-03-11
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1679221451 | ||||||||
| Enumeration Date | 2022-03-11 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4410 RUCKER PARK CONVERSE, TX 78109-3796 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 4410 RUCKER PARK CONVERSE, TX 78109-3796 United States Phone: 210-429-6463 | Fax: | ||||||||
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