Organization
BEVERLY ADVANCED PRACTICE NURSING, PLLC
Active
Other names
The Beverly Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DAYTRAL BROWN APRN (NURSE PRACTITIONER)
(903) 212-7788
Entity
Organization
Contact information
Practice address
103A WOODBINE PL, LONGVIEW, TX 75601-2912
(903) 212-7788
Mailing address
PO BOX 883, LONGVIEW, TX 75606-0883
(903) 212-7788
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
AP120067
TX
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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