Individual
MR. JEFFREY DAVID BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(832) 355-9930
(832) 355-9931
Mailing address
7550 KIRBY DR APT 521, HOUSTON, TX 77030-4368
(801) 809-8908
(801) 809-8901
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10499
TX
Other
Enumeration date
02/15/2016
Last updated
04/08/2016
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