Individual
TIMOTHY GARRICK BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT-NPS
Contact information
Practice address
22007 DIAMOND CHASE, SAN ANTONIO, TX 78259-2744
(210) 473-8896
Mailing address
22007 DIAMOND CHASE, SAN ANTONIO, TX 78259-2744
(210) 473-8896
Taxonomy
Speciality
Code
Description
License number
State
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
Primary
64740
TX
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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