Individual provider · Type 1 NPI
Beverly Ann Outram, SURGICAL ASSISTANT
Surgical Physician Assistant · Houston, TX
NPI number
1215214622
Active
Practice location
134 Vintage Park Blvd, Suite A-172
Houston, TX 77070
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1215214622
Beverly Ann Outram, SURGICAL ASSISTANT's National Provider Identifier is 1215214622, issued on Nov 14, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Houston, TX. The record was last updated on Apr 19, 2017.