Basic Information
| Provider Information | |||||||||
| NPI: | 1841240215 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BELBEL | ||||||||
| FirstName: | ROGER | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 836 | ||||||||
| Address2: | 5 E7 ALVON ROAD | ||||||||
| City: | WHITE SULPHUR SPRINGS | ||||||||
| State: | WV | ||||||||
| PostalCode: | 249860836 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3045365030 | ||||||||
| FaxNumber: | 3045365031 | ||||||||
| Practice Location | |||||||||
| Address1: | 935 SUNLAND PARK DR | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 799221369 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9152312286 | ||||||||
| FaxNumber: | 9152312288 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/10/2006 | ||||||||
| LastUpdateDate: | 01/14/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | G9260 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 1049504.05 | 05 | TX | MEDICAID | 000B3941 | 05 | NM | MEDICAID | G9260 | 01 | TX | TX MEDICAL EXAMINER | OTHER |