Individual
CELYNNE JOELLE BEAUDOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1135 N BISHOP AVE, DALLAS, TX 75208-4114
(214) 942-3100
(214) 948-3697
Mailing address
7224 S ELWOOD AVE APT 29208, TULSA, OK 74132-2462
(405) 315-3087
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15300
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/04/2019
Last updated
03/01/2023
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