Organization
HALVERSON & BEVAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY P BEVAN (PRESIDENT)
(281) 242-1970
Entity
Organization
Contact information
Practice address
101 SOUTHWESTERN BOULEVARD, SUITE 109, SUGAR LAND, TX 77478
(281) 242-1970
(281) 242-1223
Mailing address
101 SOUTHWESTERN BOULEVARD, SUITE 109, SUGAR LAND, TX 77478
(281) 242-1970
(281) 242-1223
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
23543
TX
103TC0700X
Clinical Psychologist
Primary
23738
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081091301
—
TX
Enumeration date
09/15/2006
Last updated
10/18/2012
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