Provider Demographics
NPI:1285718213
Name:VANDERPOOL, BETH ANN (PA)
Entity type:Individual
Prefix:MRS
First Name:BETH
Middle Name:ANN
Last Name:VANDERPOOL
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Gender:F
Credentials:PA
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Mailing Address - Street 1:5320 E CENTRAL TEXAS EXPY STE 105
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76543-5516
Mailing Address - Country:US
Mailing Address - Phone:254-519-1900
Mailing Address - Fax:254-519-1980
Practice Address - Street 1:5320 E CENTRAL TEXAS EXPY STE 105
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76543-5516
Practice Address - Country:US
Practice Address - Phone:254-519-1900
Practice Address - Fax:254-519-1980
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2021-03-04
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant