BEACON INTEGRATED HEALTHCARE
NPI 1164176749
Nurse Practitioner - Family in De Kalb, TX
About Beacon Integrated Healthcare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEACON INTEGRATED HEALTHCARE (NPI 1164176749) is a healthcare organization registered as a family in De Kalb, Texas and active in the NPI registry since February 2022. The organization lists Antonio D. Ingram, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Beacon Integrated Healthcare's NPI number?
The NPI number for Beacon Integrated Healthcare is 1164176749. It was assigned to this organization in the NPPES registry on February 11, 2022.
Where is Beacon Integrated Healthcare located?
Beacon Integrated Healthcare is located at 118 Wood St Ofc 1, De Kalb, TX 75559. The listed phone number is (903) 417-5377.
What is Beacon Integrated Healthcare's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
When was this NPI record last updated?
The NPPES record for Beacon Integrated Healthcare was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Beacon Integrated Healthcare · NPI 1164176749
Family organization in De Kalb, Texas. Organization record, active in the CMS NPPES registry since February 11, 2022.
## Identity
- **NPI:** 1164176749 (Entity type: Organization)
- **Enumerated:** February 11, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** Yes (part of Patient Access Foundation)
- **Authorized official:** Antonio Ingram, CEO
## Practice location
- **Address:** 118 WOOD ST OFC 1, De Kalb, TX 75559-2112
- **Phone:** (903) 417-5377
## Record status
- **NPPES last updated:** February 11, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1164176749) · Data from the CMS NPPES public registry.