Individual
MR. CHARLES W BEATTY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, FAAA
Contact information
Practice address
1101 PEGUES PL, LONGVIEW, TX 75601-4031
(903) 757-4083
(903) 757-6052
Mailing address
1101 PEGUES PL, LONGVIEW, TX 75601-4031
(903) 757-4083
(903) 757-6052
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
50322
TX
Other
Enumeration date
01/11/2007
Last updated
03/11/2009
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