Provider Demographics
NPI:1063616662
Name:BELL, ANNA C (MD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:C
Last Name:BELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1912 N. 35TH ST.
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703
Mailing Address - Country:US
Mailing Address - Phone:512-451-5161
Mailing Address - Fax:512-451-1258
Practice Address - Street 1:1912 N. 35TH ST.
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703
Practice Address - Country:US
Practice Address - Phone:512-451-5161
Practice Address - Fax:512-451-1258
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5630208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
3803307347OtherMYUTMB 3803307347-COMMERCIAL NUMBER