| Lara Jennifer Beverly, PA | |
|
1339 S Broadway St, Sulphur Springs, TX 75482-4895 | |
| (903) 951-1001 | |
| Not Available |
| Full Name | Lara Jennifer Beverly |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1339 S Broadway St, Sulphur Springs, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316199003 | NPI | - | NPPES |
| 210066104 | Medicaid | TX | |
| 210066106 | Medicaid | TX | |
| 8Y9005 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA05919 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lara Jennifer Beverly, PA 1136 E Grande Blvd, Tyler, TX 75703-3982 Ph: (903) 592-5601 | Lara Jennifer Beverly, PA 1339 S Broadway St, Sulphur Springs, TX 75482-4895 Ph: (903) 951-1001 |
Adrian Denise Childress, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1317 N Hillcrest Dr, Sulphur Springs, TX 75482 Phone: 903-438-1110 Fax: 903-438-1107 | |
Greg Barrett, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 105 Medical Plz, Sulphur Springs, TX 75482 Phone: 903-885-3181 Fax: 903-885-1329 | |
Mrs. Chandra Deel Oud, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1317 N Hillcrest Dr, Sulphur Springs, TX 75482 Phone: 903-438-1110 Fax: 903-438-1107 | |
Kalee Kirk, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 105 Medical Plz, Sulphur Springs, TX 75482 Phone: 903-885-3181 Fax: 903-885-1329 | |
Kelly Margaret Webb, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 601 Airport Rd Ste 140, Sulphur Springs, TX 75482 Phone: 903-582-4424 Fax: 903-582-4423 | |
Mr. Donna Victoria Rodriguez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 107 Medical Cir, Sulphur Springs, TX 75482 Phone: 903-885-1770 |