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Individual

DR. JON THOMAS BEEZLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L0025
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
047360501
TX
05
047360506
TX
05
047360511
TX
05
1451088
LA
05
1978868
LA
01
8A0465
BCBS
TX
01
8A3020
BCBS
TX
01
8A3030
BCBS
TX
01
8BT311
BCBS THRU SAEMA
TX
01
8J1862
BCBS
TX
01
930094840
RAILROAD
TX
01
930096176
RAILROAD
TX
01
930096177
MEDICARE RAILROAD
TX
01
P00148168
RAILROAD
TX
01
P01170066
RAILROAD MCARE
TX
Enumeration date
12/13/2005
Last updated
10/08/2025
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