Provider Demographics
NPI:1265788764
Name:BELYEU MEDICAL CARE PROVIDERS PLLC
Entity type:Organization
Organization Name:BELYEU MEDICAL CARE PROVIDERS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:ANASTASIA
Authorized Official - Last Name:BELYEU-GUINN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:214-287-9761
Mailing Address - Street 1:1790 BRAMSHAW TRL
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-1249
Mailing Address - Country:US
Mailing Address - Phone:214-287-9761
Mailing Address - Fax:888-456-4198
Practice Address - Street 1:615 E ABRAM ST STE A
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-1254
Practice Address - Country:US
Practice Address - Phone:817-226-1080
Practice Address - Fax:888-456-4198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-02
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX779652363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty