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Individual

ROBERT BEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-1022
(409) 772-2222
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G2639
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
132337003
TX
Enumeration date
10/02/2006
Last updated
05/11/2009
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