Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | Q2755 | TX |
NPI | 1437387800 |
---|---|
Provider Name | Danielle C Beachler |
First Address | Austin, TX 78759-5264 |
Second Address | Round Rock, TX 78664-3901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2009 |
Last Update Date | 05/08/2015 |