Individual provider · Type 1 NPI

Shea Beadles

Student in an Organized Health Care Education/Training Program · College Station, TX

NPI number 1992639363 Active

Practice location

400 Bizzell St
College Station, TX 77843-0001

Call (979) 845-3211 Map

Mailing address

123 Kleine Ln
College Station, TX 77845-4072

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Athletic Trainer 2255A2300XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1992639363

Shea Beadles's National Provider Identifier is 1992639363, issued on Jun 10, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in College Station, TX. The record was last updated on Jun 11, 2026.