Organization
BEEVILLE INTERNISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEHRAM A KHAN MD (OWNER)
(361) 343-2258
Entity
Organization
Contact information
Practice address
711 E HOUSTON ST, BEEVILLE, TX 78102-5023
(361) 343-2258
Mailing address
PO BOX 3808, CORPUS CHRISTI, TX 78463-3808
(361) 884-2904
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
M2669
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179720107
—
TX
05
—
204852202
—
TX
01
—
M2669
PHYSICIAN PERMIT
TX
Enumeration date
02/09/2009
Last updated
01/06/2011
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