# BEWELL & ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942584537
- **Authorized official:** BEVERLY SKINNER-WELLS ARMDS/RVT (GENERAL MANAGER)
- **Authorized official phone:** (903) 399-0858

## Contact information

- **Practice address:** 1408 E LAKE DR, GLADEWATER, TX 75647-9205
- **Practice address phone:** (903) 399-0858
- **Practice address fax:** (877) 879-7379
- **Mailing address:** 1408 E LAKE DR, GLADEWATER, TX 75647-9205
- **Mailing address phone:** (903) 399-0858
- **Mailing address fax:** (877) 879-7379

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 11039 | TX | Yes |

## Other

- **Enumeration date:** 10/01/2011
- **Last updated:** 12/04/2012