Organization
BEWELL & ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY SKINNER-WELLS ARMDS/RVT (GENERAL MANAGER)
(903) 399-0858
Entity
Organization
Contact information
Practice address
1408 E LAKE DR, GLADEWATER, TX 75647-9205
(903) 399-0858
(877) 879-7379
Mailing address
1408 E LAKE DR, GLADEWATER, TX 75647-9205
(903) 399-0858
(877) 879-7379
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
11039
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11039
ARMDS-RVT
TX
Enumeration date
10/01/2011
Last updated
12/04/2012
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