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NPI Code Detail

MEDICARE: BEVERLY S DINWIDDIE RNFA

MEDICARE: BEVERLY S DINWIDDIE RNFA
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
1163WR0006XRegistered Nurse First Assistant239253TX

General Provider Information

NPI Number : 1689721888
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEVERLY S DINWIDDIE RNFA
Provider Business Mailing Address
First Line : 9494 SOUTHWEST FWY
Second Line : SUITE 620
City : HOUSTON
State : TX
Zip : 77074-1419
Country : US
Telephone Number : 713-777-4539
Fax Number : 713-777-4542
Provider Business Practice Location Address
First Line : 9494 SOUTHWEST FWY
Second Line : SUITE 620
City : HOUSTON
State : TX
Zip : 77074-1419
Country : US
Telephone Number : 713-777-4539
Fax Number : 713-777-4542
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2007
Last Update Date : 07/08/2007

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Directions to “ BEVERLY S DINWIDDIE RNFA” Practice Location

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