| Doctor Name: | GABRIEL BEADLE |
| NPI Number: | 1235434556 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | PA.200402 |
| Business Practice Address: | 1216 N Victor Ii Blvd Suite 500 Morgan City, LA - 703801382 |
| Business Phone Number: | 9854122020 |
| Business Fax Number: | 9852598800 |
| Mailing Address: | 1216 N Victor Ii Blvd, Suite 500 MORGAN CITY |
| State: | LA |
| Postal Code: | 703801382 |
| Phone Number: | 9854122020 |
| Fax Number: | 9852598800 |
| NPI Enumeration Date: | 01/18/2011 |
| NPI Last Update Date: | 02/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA.200402 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |