Individual
KATHLEEN K. BEYRAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6201 SOUTH FWY, AB 2-6, FORT WORTH, TX 76134-2001
(817) 568-6702
Mailing address
11881 PEBBLEPOINTE PASS, CARMEL, IN 46033-9672
(317) 417-0410
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01050723A
IN
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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