Provider Demographics
NPI:1528546769
Name:DROST, BEVERLY LAAS
Entity type:Individual
Prefix:
First Name:BEVERLY
Middle Name:LAAS
Last Name:DROST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8016 STATE HIGHWAY 111 E
Mailing Address - Street 2:
Mailing Address - City:YOAKUM
Mailing Address - State:TX
Mailing Address - Zip Code:77995-5377
Mailing Address - Country:US
Mailing Address - Phone:361-293-1738
Mailing Address - Fax:
Practice Address - Street 1:2058 BERGER RD
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77905-5208
Practice Address - Country:US
Practice Address - Phone:361-550-8856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-31
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX241914163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics