Individual
BEVERLY ELAINE BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14445 WALLISVILLE RD, 902, HOUSTON, TX 77049-4349
(832) 297-5514
Mailing address
14445 WALLISVILLE RD, 902, HOUSTON, TX 77049-4349
(832) 297-5514
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
239139
TX
Other
Enumeration date
03/28/2011
Last updated
03/28/2011
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