Individual
MR. EUGENE RAYSHAWN BEAVER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC, CES
Contact information
Practice address
2312 OLIVER AVE, LONGVIEW, TX 75605-3155
(562) 244-7443
Mailing address
2312 OLIVER AVE, LONGVIEW, TX 75605-3155
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6335
TX
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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