Individual
MS. BEVERLY JEAN STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4001 LEOPARD DR, HEALTH SERVICES, TEXARKANA, TX 75503
(903) 838-4587
Mailing address
2301 WOOD ST, TEXARKANA, TX 75501-3976
(903) 278-3879
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01831
TX
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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