Beverly Skinner-Wells, ARDMS/RVT
Individual provider Active NPI Sonography Radiologic Technologist · Gladewater, TX
NPI 1295019883 · NPPES record last updated Dec 4, 2012
Key facts
- NPI
- 1295019883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sonography Radiologic Technologist 2471S1302X
- License
- 11039 (TX)
- Practice address
- 1408 E Lake Dr
Gladewater, TX 75647-9205 - Phone
- (903) 399-0858
- Fax
- (877) 879-7379
- NPI assigned
- Oct 1, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11039 | TX | MD | Sonography Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bewell & Associates LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Specialist/Technologist Cardiovascular | 246XS1301X | 11039 | TX | |
| Sonography Radiologic Technologist | 2471S1302X | 11039 | TX | Yes |
| Vascular Specialist/Technologist Cardiovascular | 246XC2903X | 11039 | TX | |
| Vascular Sonography Radiologic Technologist | 2471V0105X | 11039 | TX | |
| Radiography Radiologic Technologist | 2471C3402X | 11039 | TX |
Addresses
Primary practice location
1408 E Lake Dr
Gladewater, TX 75647-9205
Mailing address
1408 E Lake Dr
Gladewater, TX 75647-9205
Phone (903) 399-0858
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11039 | Other | TX | ARDMS-RVT |
Other providers in Gladewater, TX
- Macy Santee
- Tonya Gretchen Sartor
- Sentinel Gardens Corp. Inc
- Shahid Dental Group Gladewater, PLLC
- Mallory Vail Dippold Shelton
- Kenneth H. Skipper
- Josh Smith
- Samantha Spiro Landry
- Sydney Paige Spurlock
- Michelle Stevenson Tarango
All providers in Gladewater, TX · Sonography Radiologic Technologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.