Provider Demographics
NPI:1841292976
Name:BELLO, VIOLETA F (MD)
Entity type:Individual
Prefix:DR
First Name:VIOLETA
Middle Name:F
Last Name:BELLO
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 1:8220 SAN SIMON ST
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79765-8507
Mailing Address - Country:US
Mailing Address - Phone:432-561-8717
Mailing Address - Fax:432-331-9987
Practice Address - Street 1:303 E 7TH ST
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761
Practice Address - Country:US
Practice Address - Phone:432-582-2929
Practice Address - Fax:432-331-9987
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4367208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX092430001Medicaid
TX092430003Medicaid
TX092430002Medicaid