Individual
DR. MARK A. BEAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
405 LONDONDERRY DR, 310, WACO, TX 76712-7924
(254) 741-6013
Mailing address
PO BOX 847408, DALLAS, TX 75284-7408
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J1867
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1186868-01
CSHCN
TX
05
—
1186868-02
—
TX
01
—
160050360
RR/MEDICARE
TX
01
—
85355F
BLUE SHIELD
TX
Enumeration date
03/23/2006
Last updated
07/10/2007
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