Organization
ANDREW D BEATY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW D BEATY MD (PRESIDENT)
(817) 315-2550
Entity
Organization
Contact information
Practice address
4200 S HULEN ST STE 230, FORT WORTH, TX 76109-4924
(817) 315-2550
(817) 732-4660
Mailing address
4200 S HULEN ST STE 230, FORT WORTH, TX 76109-4924
(817) 315-2550
(817) 732-4660
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
TX
207KA0200X
Allergy Physician
Primary
—
TX
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
—
TX
2080P0201X
Pediatric Allergy/Immunology Physician
—
TX
Other
Enumeration date
08/24/2016
Last updated
06/03/2020
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