Individual
DR. STACY GERALD BEATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4450 SUNSET DRIVE, SAN ANGELO, TX 76901-5611
(325) 658-1511
Mailing address
4450 SUNSET DRIVE, SAN ANGELO, TX 76901-5611
(325) 658-1511
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
BP20019973
TX
207X00000X
Orthopaedic Surgery Physician
Primary
M3903
TX
Other
Enumeration date
06/26/2006
Last updated
04/11/2012
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