Beaver, Gail Lynn

Beaver, Gail Lynn is an individual health care provider with primary practice located at 7541 Us Highway 87 E, Suite #1, San Antonio TX 78263. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Beaver, Gail Lynn can be contacted via phone (210) 648-9900.

Contact Information

Primary practice address
7541 Us Highway 87 E, Suite #1 San Antonio TX 78263
Fax: (210) 648-9902
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP114117 Texas

Profile Details

NPI number 1689665887
LBN Legal business name Beaver, Gail Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Nov 16th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689665887 NPPES
Texas MEDICAID 177707001

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