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Individual

STEVEN D BEATHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4401 TRADITION TRL, PLANO, TX 75093-5633
(214) 358-2300
(214) 579-6601
Mailing address
1505 LBJ FWY STE 700, DALLAS, TX 75234-6065
(214) 358-2300
(214) 579-6941

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
J3983
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
J3983
MEDICAL LICENSE
TX
Enumeration date
06/14/2006
Last updated
11/03/2023
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