Basic Information
Provider Information
NPI: 1447421599
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BESEL
FirstName: TOWNE
MiddleName: M.
NamePrefix: MR.
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1848 LAKEPARK DR
Address2:  
City: LAKEHILLS
State: TX
PostalCode: 780636225
CountryCode: US
TelephoneNumber: 2106175300
FaxNumber: 2109493325
Practice Location
Address1: 7400 MERTON MINTER BLVD.
Address2: STVHCS, AUDIE MURPHY VETERAN'S
City: SAN ANTONIO
State: TX
PostalCode: 782294404
CountryCode: US
TelephoneNumber: 2106175300
FaxNumber: 2109493325
Other Information
ProviderEnumerationDate: 03/17/2008
LastUpdateDate: 03/17/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
364SA2200X614782TXY Physician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health

No ID Information.


Home