Beaird, Mark A.
Beaird, Mark A. is an individual health care provider with primary practice located at 405 Londonderry Dr 310, Waco TX 76712-7924. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Beaird, Mark A. can be contacted via phone (254) 741-6013.Contact Information
Primary practice address
405 Londonderry Dr 310
Waco TX 76712-7924
Phone: (254) 741-6013
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | J1867 | Texas |
Profile Details
NPI number | 1861452088 |
---|---|
LBN Legal business name | Beaird, Mark A. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 23rd, 2006 |
Last updated | Jul 10th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861452088 | NPPES |
Texas | Other | 1186868-01 | CSHCN |
Texas | MEDICAID | 1186868-02 | CSHCN |
Texas | Other | 85355F | CSHCN |
Texas | Other | 160050360 | CSHCN |
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