Organization
BYRON KEVIN BEAVER, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BYRON KEVIN BEAVER M.D. (PRESIDENT)
(409) 899-8534
Entity
Organization
Contact information
Practice address
755 NORTH 11TH STREET, SUITE D1001, BEAUMONT, TX 77702
(409) 899-8534
(409) 899-8304
Mailing address
PO BOX 202024, DALLAS, TX 75320-2024
(409) 899-8534
(409) 899-8304
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
L6781
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023QJ
BCBS GROUP
TX
01
—
DG1538
RAILROAD MEDICARE GROUP
TX
Enumeration date
03/13/2007
Last updated
06/21/2018
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