Individual
MS. BEVERLY ANN OUTRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SURGICAL ASSISTANT
Contact information
Practice address
134 VINTAGE PARK BLVD, SUITE A-172, HOUSTON, TX 77070
(281) 653-2924
Mailing address
134 VINTAGE PARK BLVD, SUITE A-172, HOUSTON, TX 77070-3998
(281) 653-2924
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
11/14/2011
Last updated
04/19/2017
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