Provider Demographics
NPI:1306433974
Name:BEI, CLARIS MOFOR (APRN-FNP)
Entity type:Individual
Prefix:MS
First Name:CLARIS
Middle Name:MOFOR
Last Name:BEI
Suffix:
Gender:F
Credentials:APRN-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 SPRINGTOWN
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-4074
Mailing Address - Country:US
Mailing Address - Phone:214-853-1019
Mailing Address - Fax:
Practice Address - Street 1:13980 FM 548 STE 140
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-6488
Practice Address - Country:US
Practice Address - Phone:214-853-1019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-29
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX899474163WG0000X
TX1035105363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice