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Latisha Beauchamp

NPI 1528928967 · on the registry since 2025

Practice

Address
3804 E Us Highway 377
Granbury, TX 76049
Phone
(817) 579-5212
Organisation at this address
H-E-B, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
183700000X
183700000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas