Provider Demographics
NPI:1861631517
Name:ALLEN, BELINDA FAYQ (CST, RN, CNOR)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:FAYQ
Last Name:ALLEN
Suffix:
Gender:F
Credentials:CST, RN, CNOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2171 MCKENZIE RD
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-3325
Mailing Address - Country:US
Mailing Address - Phone:214-797-3483
Mailing Address - Fax:972-222-1764
Practice Address - Street 1:2171 MCKENZIE RD
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75181-3325
Practice Address - Country:US
Practice Address - Phone:214-797-3483
Practice Address - Fax:972-222-1764
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106883246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist