Individual
DR. JERRY ALAN BEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16607 BLANCO RD, SUITE 303, SAN ANTONIO, TX 78232-1913
(210) 485-1850
(210) 493-9500
Mailing address
PO BOX 2408, SAN ANTONIO, TX 78298-2408
(210) 485-1850
(210) 493-9500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K5455
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116644904
—
TX
01
—
8W650
BLUE CROSS BLUE SHIELD
TX
Enumeration date
02/16/2006
Last updated
01/09/2021
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