Individual
ELIZABETH BEAZLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
1050 E. HWY 114 SUITE 100, SOUTHLAKE, TX 76092
(817) 329-8364
Mailing address
401 BOYD DR APT 4218, GRAPEVINE, TX 76051-6343
(214) 280-3026
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP145755
TX
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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