Individual
ANNA KAITLYN BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3501 MILLS AVE, AUSTIN, TX 78731-6309
(512) 324-2036
Mailing address
3501 MILLS AVENUE, AUSTIN, TX 78731
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
Q2514
TX
Other
Enumeration date
05/26/2011
Last updated
12/31/2014
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