Individual
WILLIAM R BEATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7030 NEW SANGER RD STE 204, WACO, TX 76712-3991
(254) 757-2999
(254) 755-8515
Mailing address
7030 NEW SANGER RD STE 204, WACO, TX 76712-3991
(254) 757-2999
(254) 755-8515
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
E0802
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00CE13
BLUECROSS & BLUESHIELD
TX
Enumeration date
08/09/2006
Last updated
07/10/2007
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