Individual
DR. BEVERLY BROWN BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
634 UPTOWN BLVD, CEDAR HILL, TX 75104-3507
(972) 637-1300
(866) 353-7586
Mailing address
634 UPTOWN BLVD, CEDAR HILL, TX 75104-3507
(972) 637-1300
(866) 353-7586
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
K3101
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016DQ
BCBS GROUP
TX
01
—
0898808
AETNA HMO
—
05
—
122177205
—
TX
05
—
122177206
—
TX
01
—
180028816
MEDICARE RR DALLAS COUNTY
TX
01
—
180034452
MEDICARE RR ELLIS COUNTY
TX
01
—
4146505
BCBD BLUE LINK
—
01
—
5248549
AETNA PPO
—
01
—
86772X
BCBS PROVIDER ID
TX
01
—
UNITED HEALTHCARE
751622524
—
Enumeration date
10/04/2006
Last updated
02/07/2014
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