Individual
DR. DANNISE BECKLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5791 COPELAND RD, TYLER, TX 75703-3905
(903) 509-2020
Mailing address
5791 COPELAND RD, TYLER, TX 75703-3905
(903) 509-2020
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H2238
TX
Other
Enumeration date
08/10/2005
Last updated
07/09/2007
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