Provider Demographics
NPI:1962664490
Name:BELIZAIRE, RITHA MARY (MD)
Entity Type:Individual
Prefix:
First Name:RITHA
Middle Name:MARY
Last Name:BELIZAIRE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5532 JESSAMINE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-6624
Mailing Address - Country:US
Mailing Address - Phone:513-252-9540
Mailing Address - Fax:
Practice Address - Street 1:427 W 20TH ST STE 710
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-2433
Practice Address - Country:US
Practice Address - Phone:832-979-5670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY280265208600000X
TXS1563208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty