Individual
MRS. GAIL LYNN BEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7541 US HIGHWAY 87 E,, SUITE #1, SAN ANTONIO, TX 78263
(210) 648-9900
(210) 648-9902
Mailing address
7541 US HIGHWAY 87 E,, SUITE #1, SAN ANTONIO, TX 78263
(210) 648-9900
(210) 648-5602
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP114117
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177707001
—
TX
Enumeration date
11/04/2005
Last updated
11/16/2021
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