Organization
BEAVER MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY L FRIAS (PRACTICE MANAGER)
(210) 648-9900
Entity
Organization
Contact information
Practice address
7541 US HIGHWAY 87 E., SUITE #1, SAN ANTONIO, TX 78263-2407
(210) 648-9900
(210) 648-9902
Mailing address
7541 US HIGHWAY 87 E., SUITE #1, SAN ANTONIO, TX 78263
(210) 648-9900
(210) 648-9902
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/10/2010
Last updated
04/09/2019
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