Individual
DR. HILARY A BEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6560 FANNIN ST, SUITE 450, HOUSTON, TX 77030-2761
(713) 441-8843
(713) 441-6463
Mailing address
6560 FANNIN ST, SUITE 450, HOUSTON, TX 77030-2761
(713) 441-8843
(713) 441-6463
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
33313
IA
207W00000X
Ophthalmology Physician
Primary
J8201
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0203117
—
IA
05
—
135941609
—
TX
05
—
135941610
—
TX
01
—
15256
WELLMARK BCBS
IA
01
—
8BZ873
BLUE CROSS BLUE SHIELD
TX
01
—
P01063004
RAILROAD MEDICARE
TX
Enumeration date
08/09/2005
Last updated
06/28/2016
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