Provider Demographics
NPI:1770183865
Name:CLEVELAND, BELINDA GAIL
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:GAIL
Last Name:CLEVELAND
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 1:16510 GLORIETTA TURN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-1452
Mailing Address - Country:US
Mailing Address - Phone:281-804-8585
Mailing Address - Fax:
Practice Address - Street 1:155 LOUETTA XING
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-3007
Practice Address - Country:US
Practice Address - Phone:281-651-0216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36170183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist