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Individual

DAVID HOUSTON BEDDOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
143 MOONLIGHT DR, MURPHY, TX 75094-3209
(469) 834-3819
Mailing address
143 MOONLIGHT DR, MURPHY, TX 75094-3209

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
61217465
WA
363A00000X
Physician Assistant
PA15027
TX

Other

Enumeration date
09/07/2021
Last updated
10/25/2021
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