Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | Q2245 | TX |
N | 208600000X | Surgeon | Q2245 | TX |
Y | 2086S0120X | Pediatric Surgery | Q2245 | TX |
NPI | 1578778981 |
---|---|
Provider Name | Dr. Alana Lysa Beres |
First Address | Dallas, TX 75284-5347 |
Second Address | Dallas, TX 75390-7208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2007 |
Last Update Date | 05/02/2016 |