Individual
DR. BRANDY LA'SHAY BEAUCHAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7877 WILLOW CHASE BLVD, HOUSTON, TX 77070-5934
(832) 869-4818
Mailing address
1601 RIO GRANDE ST, SUITE 340, AUSTIN, TX 78701-1137
(512) 324-8960
(512) 324-8962
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
N4288
TX
2084P0800X
Psychiatry Physician
N4288
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208594602
—
TX
05
—
208594603
—
TX
Enumeration date
06/14/2007
Last updated
09/12/2023
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