Basic Information
Provider Information
NPI: 1740596071
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BEALL
FirstName: RAKEL
MiddleName: CHANDRA
NamePrefix: DR.
NameSuffix:  
Credential: M.D., M.P.H.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5919 GENTLEWOOD LN
Address2:  
City: SUGAR LAND
State: TX
PostalCode: 774791685
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1 BAYLOR PLZ
Address2:  
City: HOUSTON
State: TX
PostalCode: 770303411
CountryCode: US
TelephoneNumber: 7137984872
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/24/2010
LastUpdateDate: 05/02/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XBP10036816TXY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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