Provider Demographics
NPI:1417165697
Name:BELVIN, JAMES ALVIS (RPH)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ALVIS
Last Name:BELVIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:JIM
Other - Middle Name:A
Other - Last Name:BELVIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:19408 FM 16 W
Mailing Address - Street 2:
Mailing Address - City:LINDALE
Mailing Address - State:TX
Mailing Address - Zip Code:75771-5520
Mailing Address - Country:US
Mailing Address - Phone:903-882-4790
Mailing Address - Fax:903-882-8892
Practice Address - Street 1:19408 FM 16 W
Practice Address - Street 2:
Practice Address - City:LINDALE
Practice Address - State:TX
Practice Address - Zip Code:75771-5520
Practice Address - Country:US
Practice Address - Phone:903-882-4790
Practice Address - Fax:903-882-8892
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19413183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist