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Laticia Beaudoin is one of 637 nurse practitioners practicing in Tyler, Texas .
Laticia Beaudoin practices with North Texas Physician Services, PLLC.
Registry record (NPPES)
NPI
1245837251
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner · 363L00000X
Address on file
401 E Vaughn Ave Ruston, LA 71270-5950 (318) 254-2100
Enumerated
Oct 2, 2020
Record last updated
Jun 23, 2021
License states listed
LA, TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
800 E Dawson St
Tyler , TX 75701
(903) 593-8441
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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