Individual provider · NPI-1

Dr. Seth Albert Bellister, M.D.

Surgery · Tyler, TX

NPI number1891043956
StatusActive
Last updated in NPPESDec 29, 2023

Details

NPI
1891043956
Entity type
Individual (NPI-1)
Name
Dr. Seth Albert Bellister
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 21, 2012
Certification date
Dec 29, 2023
Last updated
Dec 29, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery01091337AINYes
208600000X Surgery0101261822VA
208600000X SurgeryBP10034463TX
2086S0127X Surgery, Trauma Surgery56337TN
2086S0127X Surgery, Trauma SurgeryR8863TX
2086S0127X Surgery, Trauma Surgery01091337AIN

Practice location

3885 Brighton Creek Cir
Tyler, TX 75707-1676

Phone 775-747-5459

Mailing address

3885 Brighton Creek Cir
Tyler, TX 75707-1676

Other practice locations

6431 Fannin St
Houston, TX 77030-1501

Phone 713-500-7216

1211 21st Ave S # Mab404
Nashville, TN 37212-2717

Phone 615-936-0303

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