Organization Name: | BESHEARS HEALTH AT HOME, PLLC |
NPI Number: | 1790045920 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JULIA KAYE BESHEARS (OWNER/MANAGER) |
Mailing Address: | 141 Sundance Dr Van Alstyne |
State: | TX US |
Postal Code: | 754952648 |
Phone Number: | 2145510507 |
Fax Number: | 9033674254 |
NPI Enumeration Date: | 05/22/2012 |
NPI Last Update Date: | 05/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 685065 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |