person
Beverly Egolum
Student in an Organized Health Care Education/Training Program in Fort Worth, Texas
NPI 1093575169

Beverly Egolum is a Student in an Organized Health Care Education/Training Program based in Fort Worth, TX. Beverly Egolum practices in Fort Worth, TX. The NPI Number for Beverly Egolum is 1093575169 and holds a License No. (Texas).

The current practice location address for Beverly Egolum is 1500 S Main St, Fort Worth, TX and can be reached out via phone at 817-702-6936. You can also correspond with Beverly Egolum through the mailing address at 1500 S MAIN ST, FORT WORTH, TX - 76104-4917 (mailing address contact number: ).

Location: 1500 S Main St, Fort Worth, TX, 76104-4917
person
Provider Profile Details
NPI Number
1093575169
Provider Name
Beverly Egolum
Credential
Provider Entity Type
Individual
Gender
Female
Address
1500 S Main St, Fort Worth, TX, 76104-4917
Phone Number
817-702-6936
Fax Number
Provider Enumeration Date
03/19/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1500 S Main St
City
State
Zip
76104-4917
Phone Number
817-702-6936
Fax Number
person
Provider Business Mailing Address Details
Address
1500 S Main St
City
State
Zip
76104-4917
Phone Number
817-702-6936
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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