Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | L7908 | TX |
N | 111NI0900X | Internist | L7908 | TX |
Y | 207RR0500X | Rheumatology | L7908 | TX |
NPI | 1114184306 |
---|---|
Provider Name | Beth Ann Valashinas |
First Address | Fort Worth, TX 76161-1205 |
Second Address | Fort Worth, TX 76132-3924 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2008 |
Last Update Date | 18/04/2019 |