Individual
BROOKE ELLEN BECKWITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5236 W UNIVERSITY DR STE 1000, MCKINNEY, TX 75071-8106
(972) 542-8609
(972) 542-8613
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11304
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375072102
—
TX
Enumeration date
07/20/2017
Last updated
07/21/2022
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