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
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 364SA2200X | 614782 | TX | Y |   | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Adult Health |
No ID Information.