Beacon Healthcare, Pllc

NPI #1619166022 in Huntsville, Texas

Provider Information

NPI Number: 1619166022
Entity Type: Organization
Organization Name: Beacon Healthcare, Pllc
Primary Specialty: Clinic/Center
Enumeration Date: Oct 22, 2007
Last Updated: Apr 20, 2008

Practice Location

Address: 284 INTERSTATE 45 S
Address 2: SUITE 1
City: Huntsville
State: Texas
ZIP Code: 77340-4967
Phone: (936) 439-9830

Authorized Official

Name: MRS. SHELLY L HUCKABY, FNP-C
Title: NURSE PRACTITIONER/OWNER
Phone: (936) 439-9830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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