Provider Demographics
NPI:1215607783
Name:BELL, JEFFREY D (HIS)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:D
Last Name:BELL
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1709 S 77 SUNSHINESTRIP STE A2
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8121
Mailing Address - Country:US
Mailing Address - Phone:956-428-0757
Mailing Address - Fax:
Practice Address - Street 1:1709 S 77 SUNSHINESTRIP STE A2
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8121
Practice Address - Country:US
Practice Address - Phone:956-428-0757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-16
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80948237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist