Provider Demographics
NPI:1083280861
Name:BEARY, WILHELMENA
Entity Type:Individual
Prefix:MRS
First Name:WILHELMENA
Middle Name:
Last Name:BEARY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15343 EAST RITTER CIRCLE
Mailing Address - Street 2:15343 EAST RITTER CIRCLE
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071
Mailing Address - Country:US
Mailing Address - Phone:832-970-8684
Mailing Address - Fax:
Practice Address - Street 1:15343 EAST RITTER CIRCLE
Practice Address - Street 2:15343 EAST RITTER CIRCLE
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071
Practice Address - Country:US
Practice Address - Phone:832-970-8684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider