Individual
ROBERT COLESON BEAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4031 W PLANO PKWY STE 100, PLANO, TX 75093-5617
(972) 985-1072
(972) 964-3469
Mailing address
4031 W PLANO PKWY STE 100, PLANO, TX 75093-5617
(972) 985-1072
(972) 964-3469
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M7033
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0154352
DPS
TX
Enumeration date
09/05/2007
Last updated
09/05/2007
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