Provider Demographics
NPI:1194855544
Name:BEARD, GAIL PATRICIA (DC)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:PATRICIA
Last Name:BEARD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:16111 SAN PEDRO
Mailing Address - Street 2:SUITE 109
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-3061
Mailing Address - Country:US
Mailing Address - Phone:210-545-7000
Mailing Address - Fax:210-545-1177
Practice Address - Street 1:16111 SAN PEDRO
Practice Address - Street 2:SUITE 109
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-3061
Practice Address - Country:US
Practice Address - Phone:210-545-7000
Practice Address - Fax:210-545-1177
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8997111NR0400X, 111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111NX0100XChiropractic ProvidersChiropractorOccupational Health