Jacqueline Beltran DO PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

P1963 Issued in TX

Legal business name

JACQUELINE BELTRAN DO PA

Practice address

8615 Lullwater Dr
Dallas, TX 75238-4754

Phone

(214) 221-0444

Fax

(214) 343-5205

NPI assigned

May 26, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacqueline Beltran, DO

Title

President

Phone

(713) 291-1179

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1215316039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 BLACKBURN ST",
            "address_2": "APT 5402",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041588",
            "telephone_number": "713-291-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8615 LULLWATER DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752384754",
            "telephone_number": "214-221-0444",
            "fax_number": "214-343-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE BELTRAN DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "BELTRAN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-291-1179",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "P1963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Christina Jacobson
• Robert M. Jacobson, M.D.
• Sara Jacobson
• Lauri Ruth Jacoby-Greenberg, MAT CCC SLP
• Katerina Zoe Jacomides
• Jacqueline M. Plemons, DDS, Ms
• Andrew Murray Jacques, MD
• Jacy Rader LLC (White Rock Counseling)
• Jacy'S Home Healthcare Plus, Inc.
• Jacy'S Home Healthcare, Plus Inc.

• Physical Medicine & Rehabilitation Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.