Individual
MRS. ELISSA YVONNE BECKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1149 HIGHLAND STATION DR, SAGINAW, TX 76131-4825
(360) 551-7383
Mailing address
1149 HIGHLAND STATION DR, SAGINAW, TX 76131-4825
(360) 551-7383
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
17M00000X
TX
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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