Organization
BEACON HEALTHCARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLY L HUCKABY FNP-C (NURSE PRACTITIONER/OWNER)
(936) 439-9830
Entity
Organization
Contact information
Practice address
284 INTERSTATE 45 S, SUITE 1, HUNTSVILLE, TX 77340-4967
(936) 439-9830
(936) 439-9516
Mailing address
284 INTERSTATE 45 S, SUITE 1, HUNTSVILLE, TX 77340-4967
(936) 439-9830
(936) 439-9516
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
669836
TX
Other
Enumeration date
10/22/2007
Last updated
04/20/2008
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