Individual
DAVID H BEAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 E DOUGLAS BLVD, TYLER, TX 75702-8307
(903) 593-1721
(903) 510-1143
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H2235
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102652802
—
TX
01
—
122994
SUPERIOR/CHIPS
TX
01
—
4521776
AETNA
TX
01
—
83Y723
BCBS
TX
01
—
TAX ID AND 035
TRICARE
TX
Enumeration date
01/26/2006
Last updated
12/08/2014
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