Individual
DR. CHRISTOPHER L BEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 E VAN BUREN AVE, MCALESTER, OK 74501-4245
(918) 426-0240
Mailing address
6600 S YALE AVE, SUITE 1400, TULSA, OK 74136-3347
(918) 488-6001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29460
OK
207Q00000X
Family Medicine Physician
BP10028372
TX
207Q00000X
Family Medicine Physician
N5564
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0075TL
BLUE CROSS
TX
05
—
215724002
—
TX
01
—
29460
OKLAHOMA STATE LICENSE
OK
01
—
BP10028372
BASIC PERMIT
TX
01
—
N5564
TEXAS MEDICAL LICENSE
TX
Enumeration date
09/20/2007
Last updated
02/08/2013
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