Dacodah Beech, FNP-C | |
112 Maverick Ct, Granbury, TX 76049-1381 | |
(888) 731-8994 | |
Not Available |
Full Name | Dacodah Beech |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 112 Maverick Ct, Granbury, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699252650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP138092 (Texas) | Primary |
Entity Name | Grayson County Health Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891122198 PECOS PAC ID: 9638307648 Enrollment ID: O20140122000150 |
Mailing Address | Practice Location Address |
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Dacodah Beech, FNP-C 1543 Fm 697, Sherman, TX 75090-3721 Ph: () - | Dacodah Beech, FNP-C 112 Maverick Ct, Granbury, TX 76049-1381 Ph: (888) 731-8994 |
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