Individual
BETH ANN DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3014 DERRICK LN, MANVEL, TX 77578-3672
(815) 514-9688
Mailing address
3014 DERRICK LN, MANVEL, TX 77578-3672
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
832791
TX
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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