Lara Jennifer Beverly, P.A.
NPI #1316199003 in Sulphur Springs, Texas
Provider Information
- NPI Number
- 1316199003
- Entity Type
- Individual
- Name
- Lara Jennifer Beverly, P.A.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- P.A.
- Enumeration Date
- Oct 14, 2008
- Last Updated
- Mar 23, 2021
Practice Location
- Address
- 1339 S BROADWAY ST
- City
- Sulphur Springs
- State
- Texas
- ZIP Code
- 75482-4895
- Phone
- (903) 951-1001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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