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Individual
LAURA ABADIE BEATTY
Active
Individual
LAURA ABADIE BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06526
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213259901
—
TX
01
—
818N64
BCBS
TX
Enumeration date
03/02/2010
Last updated
08/31/2011
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