| Beacon Healthcare, Pllc | |
|
284 Interstate 45 S Suite 1 Huntsville TX 77340-4967 | |
| (936) 439-9830 | |
| (936) 439-9516 |
| Full Name | Beacon Healthcare, Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 284 Interstate 45 S, Huntsville, Texas |
| Authorized Official Name and Position | Shelly L Huckaby (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 9364399830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Healthcare, Pllc 284 Interstate 45 S Suite 1 Huntsville TX 77340-4967 Ph: (936) 439-9830 | Beacon Healthcare, Pllc 284 Interstate 45 S Suite 1 Huntsville TX 77340-4967 Ph: (936) 439-9830 |
| NPI Number | 1619166022 |
|---|---|
| Provider Enumeration Date | 10/22/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619166022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 669836 (Texas) | Primary |
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