Healthcare Provider Details

I. General information

NPI: 1982578118
Provider Name (Legal Business Name): BEYAH CARE MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2025
Last Update Date: 10/01/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3126 CRESCENT OAKS PARK LN
SPRING TX
77386
US

IV. Provider business mailing address

7901 RESEARCH FOREST DR STE 400
THE WOODLANDS TX
77382-1482
US

V. Phone/Fax

Practice location:
  • Phone: 754-245-2033
  • Fax:
Mailing address:
  • Phone: 754-245-2033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MADARE PREVILOR
Title or Position: CLINIC DIRECTOR
Credential: NP
Phone: 754-245-2033