NPI 1003101817
Beverly Shaw Mack, LBSW
Practice location
- Address
- 6300 Hillcroft St STE 200, Houston, TX 77081-3005
- Phone
- (281) 460-9590
- Fax
- (713) 278-9711
- Mailing address
- 5631 Heron Dr, Houston, TX 77033-3131
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1003101817
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Jun 2011
- Record last updated
- 9 Jun 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.