Individual
DR. RYAN BEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
(254) 724-7603
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
S5321
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2015
Last updated
08/16/2021
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