Individual
MICHELLE A BEESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 HOSPITAL PKWY, BEDFORD, TX 76022-6913
(817) 685-4619
Mailing address
P O BOX 960046, OKLAHOMA CITY, OK 73196-0001
(877) 485-4474
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K1745
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135258501
—
TX
05
—
135258511
—
TX
01
—
89270J
BCBS
TX
01
—
930066531
RAILROAD MEDICARE
TX
Enumeration date
02/23/2006
Last updated
04/09/2013
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