Provider Demographics
NPI:1003395682
Name:CALAHAN, BEVERLY (RN)
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:
Last Name:CALAHAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13409 FM 56
Mailing Address - Street 2:
Mailing Address - City:MORGAN
Mailing Address - State:TX
Mailing Address - Zip Code:76671-3207
Mailing Address - Country:US
Mailing Address - Phone:254-933-0818
Mailing Address - Fax:
Practice Address - Street 1:13409 FM 56 # 818
Practice Address - Street 2:
Practice Address - City:MORGAN
Practice Address - State:TX
Practice Address - Zip Code:76671-3207
Practice Address - Country:US
Practice Address - Phone:254-366-0818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-14
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health