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CYNTHIA LAIS BEAUCHAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8222 DOUGLAS AVE, STE 400, DALLAS, TX 75225-5923
(214) 369-6434
(214) 696-6273
Mailing address
8222 DOUGLAS AVE, STE 400, DALLAS, TX 75225-5923
(214) 369-6434
(214) 696-6273

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M2557
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8AQ941
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/26/2007
Last updated
11/14/2008
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