Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0004X | Dentist Anesthesiologist | 36680 | TX |
N | 1223D0004X | Dentist Anesthesiologist | DS041498 | PA |
NPI | 1154500247 |
---|---|
Provider Name | Dr. Andrea M Bell |
First Address | Round Rock, TX 78681-1149 |
Second Address | El Paso, TX 79912-2517 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2007 |
Last Update Date | 31/10/2020 |