Individual
AUTUMN BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3502 9TH ST, SUITE 360, LUBBOCK, TX 79415-3300
(806) 761-0747
(806) 761-0751
Mailing address
5219 CITY BANK PKWY STE 135, LUBBOCK, TX 79407-3595
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
737829
TX
Other
Enumeration date
11/02/2010
Last updated
02/18/2013
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