Provider Demographics
NPI:1285134254
Name:BEEGLE, CURTIS LEE
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:LEE
Last Name:BEEGLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7686 HWY 69
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:TX
Mailing Address - Zip Code:75490-6930
Mailing Address - Country:US
Mailing Address - Phone:903-449-3709
Mailing Address - Fax:
Practice Address - Street 1:7686 HWY 69
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:TX
Practice Address - Zip Code:75490-6930
Practice Address - Country:US
Practice Address - Phone:903-449-3709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-16
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX330958164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse