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Individual
DR. KRISTINE LYNNE BEAUCHAMP
Active
Individual
DR. KRISTINE LYNNE BEAUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L6285
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157883305
—
TX
01
—
8M7999
BLUE SHIELD
TX
01
—
P00195396
RR/MEDICARE
TX
Enumeration date
03/21/2006
Last updated
07/11/2018
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