Beverly K Iltis in Dallas - Physician Assistant
Beverly K Iltis - NPI 1326015074
Beverly K Iltis is a Physician Assistant in Dallas, Texas. Beverly K Iltis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Beverly K Iltis is 1326015074. The last update date is 2021-11-11.
Beverly K Iltis's current location address is Po Box 610393, Dallas, Texas. You can contact this provider via phone number 9037576042 and fax number 9032371810. The mailing address for Beverly K Iltis is Po Box 610393, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Beverly K Iltis |
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Address | Po Box 610393, Dallas, Texas |
Phone Number | 9037576042 |
Fax Number | 9032371810 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1326015074 |
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Provider Enumeration Date | 2006-03-01 |
Last Updated Date | 2021-11-11 |
Provider Mailing Address Detail
Address | Po Box 610393 |
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City | Dallas |
State | Texas (TX) |
Post Code | 752610393 |
Phone Number | 9037576042 |
Fax Number | 9032371810 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA02521 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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286521406 | TX | -- |
Post Comment/ Review Below
Could you provide the complete address where Beverly K Iltis is physically located?
The Beverly K Iltis is situated at the following address: Po Box 610393, Dallas, TX 752610393.
Could you please share the complete physical location address where Beverly K Iltis's facilities are situated?
The facilities of Beverly K Iltis are physically located at the following address: Po Box 610393, Dallas, TX, 752610393.
What is Beverly K Iltis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Beverly K Iltis's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
What is Beverly K Iltis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Beverly K Iltis is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
As of what date was the information pertaining to Beverly K Iltis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Beverly K Iltis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-11-11.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY