Individual
BEVERLY J HARGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2990 N BROADWAY AVE, TYLER, TX 75702-2149
(903) 535-9041
(903) 592-3886
Mailing address
523 S FANNIN AVE, TYLER, TX 75702-8204
(903) 535-9041
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
606422
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP117038
TX
Other
Enumeration date
07/29/2008
Last updated
11/20/2024
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