Provider Demographics
NPI:1790045920
Name:BESHEARS HEALTH AT HOME, PLLC
Entity Type:Organization
Organization Name:BESHEARS HEALTH AT HOME, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:BESHEARS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:214-551-0507
Mailing Address - Street 1:141 SUNDANCE DR
Mailing Address - Street 2:
Mailing Address - City:VAN ALSTYNE
Mailing Address - State:TX
Mailing Address - Zip Code:75495-2648
Mailing Address - Country:US
Mailing Address - Phone:214-551-0507
Mailing Address - Fax:903-367-4254
Practice Address - Street 1:141 SUNDANCE DR
Practice Address - Street 2:
Practice Address - City:VAN ALSTYNE
Practice Address - State:TX
Practice Address - Zip Code:75495-2648
Practice Address - Country:US
Practice Address - Phone:214-551-0507
Practice Address - Fax:903-367-4254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-22
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX685065363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty