Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 8997 | TX |
N | 111NX0100X | Occupational Health | 8997 | TX |
NPI | 1194855544 |
---|---|
Provider Name | Dr. Gail Patricia Beard |
First Address | San Antonio, TX 78232-3061 |
Second Address | San Antonio, TX 78232-3061 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2007 |
Last Update Date | 05/08/2010 |