MEDICARE: MRS. HAZEL AUDRELINE BECKFORD-FLEMMING RN, FNP, MSN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP115255	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8Y3426	OTHER	TX	BCBSTX

General Provider Information

NPI Number	:	1578758199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HAZEL AUDRELINE BECKFORD-FLEMMING RN, FNP, MSN

Provider Business Mailing Address
First Line	:	9 GREENWAY PLZ STE 2950
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77046-0924
Country	:	US
Telephone Number	:	866-607-7334
Fax Number	:	713-358-4801

Provider Business Practice Location Address
First Line	:	10919 LOUETTA RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-1667
Country	:	US
Telephone Number	:	281-251-1800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2007
Last Update Date	:	04/04/2016

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