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General NPI Number Information
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NPI Number | 1861965543
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Entity Type | Individual
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Provider Name | ANGELA D BEAL
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Gender | Female
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Dates
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Enumeration Date | 01/06/2019
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 6633 BELLFORT ST
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City | HOUSTON
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State | TX
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Zip | 77087-6409
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Country | US
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Telephone | 713-993-6425
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Fax |
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Provider Business Mailing Address
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Address Line | 2136 W 95TH ST STE 201
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City | CHICAGO
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State | IL
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Zip | 60643-1000
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Country | US
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Telephone | 708-765-9288
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Fax | 773-409-9381
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 277001168
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209018494
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 277001168
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209018494
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1133284
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License Number State | TX
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