Individual
CHARLOTTA ELYSE BEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11045 LANDSWALK DR, #115, HOUSTON, TX 77099-3450
(281) 989-2851
Mailing address
11045 LANDSWALK DR, #115, HOUSTON, TX 77099-3450
(281) 989-2851
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
E6S6W5Q2
TX
172A00000X
Driver
Primary
15541150
TX
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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