Individual
BEVERLY S ALDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-3199
(382) 885-7499
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7347
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
F9129
TX
208M00000X
Hospitalist Physician
Primary
F9129
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U87Z
MEDICARE GROUP PIN
TX
01
—
10028685
AMERIGROUP PIN
TX
01
—
107324100
FIRSTCARE PIN
TX
01
—
1099696
UHC PIN
TX
05
—
118009306
—
TX
01
—
118009307
CSHCN
TX
01
—
124024
SUPERIOR PIN
TX
01
—
137345810
CSHCN GRP TPI
TX
01
—
140442852
MEDICAID GRP TPI
TX
01
—
1750369203
GRP NPI NUMBER
—
01
—
413436
PHCS PIN
TX
01
—
4357321
AETNA PIN
TX
01
—
5576468
CIGNA PIN
TX
01
—
82V079
BCBSTX IND PIN
TX
Enumeration date
08/18/2006
Last updated
07/15/2011
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