Provider Demographics
NPI:1689721888
Name:DINWIDDIE, BEVERLY S (RNFA)
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:S
Last Name:DINWIDDIE
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9494 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 620
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1419
Mailing Address - Country:US
Mailing Address - Phone:713-777-4539
Mailing Address - Fax:713-777-4542
Practice Address - Street 1:9494 SOUTHWEST FWY
Practice Address - Street 2:SUITE 620
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1419
Practice Address - Country:US
Practice Address - Phone:713-777-4539
Practice Address - Fax:713-777-4542
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX239253163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant