JACQUELINE BELTRAN DO PA
Physical Therapy at Lullwater Dr, Dallas, TX

License number
Texas P1963
Category
Medical Practice
Type
Physical Medicine & Rehabilitation
Owner
Name: JACQUELINE BELTRAN DO
Title: PRESIDENT
Phone: (713) 291-1179
Address
Address
8615 Lullwater Dr, Dallas, TX 75238
National Provider ID: 1215316039
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JACQUELINE BELTRAN, D.O., PA

3355 Blackburn St APT 5402, Dallas, TX 75204

Doing business as:
Jacqueline Beltran, D.O., PA
Registration:
May 9, 2014
State ID:
0801992208
Business type:
Professional Association
Executive Committee, Member:
Jacqueline E. Beltran (Executive Committee, Member)
Agent:
Jacqueline Beltran,3355 Blackburn St #5402, Dallas, TX 75204 (Physical)
TIN:
32054090694

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