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Individual

DR. BYRON KEVIN BEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3333 SPRINGHILL DR, SUITE 2002, NORTH LITTLE ROCK, AR 72117-2922
(501) 202-3638
(501) 202-3639
Mailing address
PO BOX 16474, LITTLE ROCK, AR 72231-6474
(501) 202-3638
(501) 202-3639

Taxonomy

Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
E-6065
AR
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
L6781
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
160896002
TX
05
179030001
AR
01
8AJ534
BCBS INDIVIDUAL
TX
01
P00094736
RAILROAD MEDICARE
TX
Enumeration date
12/05/2005
Last updated
08/03/2011
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