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Beacon Integrated Healthcare
Family Nurse Practitioner in De Kalb, Texas
NPI 1164176749

Beacon Integrated Healthcare is a Family Nurse Practitioner based in De Kalb, TX and is specialized in Family. Beacon Integrated Healthcare practices in De Kalb, TX. The NPI Number for Beacon Integrated Healthcare is 1164176749 and holds a License No. (Texas).

The current practice location address for Beacon Integrated Healthcare is 118 Wood St Ofc 1, De Kalb, TX and can be reached out via phone at 903-417-5377.

Location: 118 Wood St Ofc 1, De Kalb, TX, 75559-0369
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164176749
Provider Name
Beacon Integrated Healthcare
Credential
Provider Entity Type
Organization
Address
118 Wood St Ofc 1, De Kalb, TX, 75559-0369
Phone Number
903-417-5377
Fax Number
Provider Enumeration Date
02/11/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
118 Wood St Ofc 1
City
De Kalb
State
Texas
Zip
75559-2112
Phone Number
903-417-5377
Fax Number
person
Provider Business Mailing Address Details
Address
118 Wood St Ofc 1
City
De Kalb
State
Texas
Zip
75559-2112
Phone Number
903-417-5377
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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