Individual
MR. BRIAN BEARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
510 E CLINTON AVE, ATHENS, TX 75751-3410
(903) 677-1000
(903) 677-1694
Mailing address
PO BOX 2127, ATHENS, TX 75751-7127
(903) 677-1000
(903) 677-1694
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
784631
TX
367500000X
Certified Registered Nurse Anesthetist
28222332A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
AP132538
TX
Other
Enumeration date
06/04/2015
Last updated
01/18/2017
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