Tahnee Rae Beal, MS, LAT, ATC
Family Medicine, Sports Medicine in Denton, TX. Individual provider (NPI-1).
NPI number1639704042
StatusActive
Last updated in NPPESMar 5, 2020
Details
- NPI
- 1639704042
- Entity type
- Individual (NPI-1)
- Name
- Tahnee Rae Beal
- Credential
- MS, LAT, ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 5, 2020
- Certification date
- Mar 5, 2020
- Last updated
- Mar 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QS0010X | Family Medicine, Sports Medicine | AT7525 | TX | Yes |
Practice location
1301 S Bonnie Brae St.Athc Building # 0320.
Denton, TX 76207
Phone 530-375-6530
Mailing address
400 Ame Dr Apt 3225Denton, TX 76207-7792
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