Individual
MS. BEVERLY JO GUY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
12310 GREENGLEN DR, HOUSTON, TX 77044-7253
(832) 887-9022
Mailing address
12310 GREENGLEN DR, HOUSTON, TX 77044-7253
(832) 887-9022
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
186569
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186569
LVN
TX
Enumeration date
11/11/2010
Last updated
11/11/2010
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