Provider Demographics
NPI:1639916851
Name:CANALES, STEPHANIE BESKID (APRN, AGNP-BC)
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:BESKID
Last Name:CANALES
Suffix:
Gender:F
Credentials:APRN, AGNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5218 FAIRWEATHER CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-7216
Mailing Address - Country:US
Mailing Address - Phone:713-480-8648
Mailing Address - Fax:
Practice Address - Street 1:6445 MAIN ST FL 24
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1502
Practice Address - Country:US
Practice Address - Phone:346-699-1271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1159079207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine