Individual
MRS. CARRIE STEPHANIE BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K0258
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045296302
—
TX
05
—
045296304
—
TX
01
—
1265475891
GROUP NPI
TX
05
—
173321401
—
TX
Enumeration date
06/13/2006
Last updated
03/18/2019
Update your record
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