Provider Demographics
NPI:1326670837
Name:VIZCAINO, BELINDA YBARRA
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:YBARRA
Last Name:VIZCAINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5017 S COUNTY ROAD 1195
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79706-7081
Mailing Address - Country:US
Mailing Address - Phone:432-381-4955
Mailing Address - Fax:
Practice Address - Street 1:5017 S COUNTY ROAD 1195
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79706-7081
Practice Address - Country:US
Practice Address - Phone:432-381-4955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-12
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX564180163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse