Individual
REBECCA BEAVER NORMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1055 CLARKSVILLE ST, STE 195, PARIS, TX 75460-6097
(903) 785-8480
(903) 785-8455
Mailing address
1055 CLARKSVILLE ST, STE 195, PARIS, TX 75460-6097
(903) 785-8480
(903) 785-8455
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA03704
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00TU80
BLUE CROSS BLUE SHILED
TX
01
—
020003359
MEDICARE RAILROAD
TX
05
—
100071470A
—
OK
05
—
100280005
—
TX
Enumeration date
06/20/2005
Last updated
11/15/2011
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