Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 20052 | TX |
Y | 103TC0700X | Clinical Psychologist | 20052 | TX |
NPI | 1003886961 |
---|---|
Provider Name | Robert L Bell |
First Address | Houston, TX 77255-0769 |
Second Address | Houston, TX 77055-2633 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2006 |
Last Update Date | 19/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
114335603 | (05) | TX |