Provider Demographics
NPI:1255531851
Name:WASHINGTON, BEATRICE NEAL
Entity type:Individual
Prefix:MRS
First Name:BEATRICE
Middle Name:NEAL
Last Name:WASHINGTON
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 1:5418 BOTANY LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77048-2602
Mailing Address - Country:US
Mailing Address - Phone:713-731-7999
Mailing Address - Fax:713-731-7999
Practice Address - Street 1:5418 BOTANY LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77048-2602
Practice Address - Country:US
Practice Address - Phone:713-731-7999
Practice Address - Fax:713-731-7999
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver