Individual
BEATA WALENDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2379 GUS THOMASSON RD, SUITE 300, MESQUITE, TX 75150-5302
(972) 613-3700
(972) 613-3700
Mailing address
2379 GUS THOMASSON RD, SUITE 300, MESQUITE, TX 75150-5302
(972) 613-3700
(972) 613-3700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J9426
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8U9341
BCBS
TX
Enumeration date
11/14/2006
Last updated
07/08/2007
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