| NPI | 1285185561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELBERT H BEAUCHAMP Principal 214-227-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA00653) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2022-05-31 |