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Organization

EVAN W BEALE MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EVAN WAREING BEALE M.D. (MEDICAL DIRECTOR/PRESIDENT)
(972) 566-3001
Entity
Organization

Contact information

Practice address
7777 FOREST LN, SUITE B-116, DALLAS, TX 75230-2571
(972) 566-3001
(972) 566-3401
Mailing address
7777 FOREST LN, SUITE B116, DALLAS, TX 75230-2571
(972) 566-3001
(972) 566-3401

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
P2955
TX

Other

Enumeration date
02/11/2016
Last updated
07/28/2016
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