Basic Information
| Provider Information | |||||||||
| NPI: | 1023488921 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BESHO | ||||||||
| FirstName: | JANE | ||||||||
| MiddleName: | EMILIE | ||||||||
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| Credential: | WHNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6651 MAIN ST | ||||||||
| Address2: | PAVILION FOR WOMEN - BAYLOR OBGYN 10TH FLOOR | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770302351 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7407046304 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6701 FANNIN ST | ||||||||
| Address2: | CLINICAL CARE CENTER 11TH FLOOR GYNECOLOGY | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770302608 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8328241000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/05/2015 | ||||||||
| LastUpdateDate: | 11/08/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/08/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LX0001X | AP129225 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Obstetrics & Gynecology |
No ID Information.