Beaver, Byron Kevin

Beaver, Byron Kevin is an individual health care provider with primary practice located at 3333 Springhill Dr Suite 2002, North Little Rock AR 72117-2922. He recently has only one registered license in Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, which is considered as his primary health care specialty. Beaver, Byron Kevin can be contacted via phone (501) 202-3638.

Contact Information

Primary practice address
3333 Springhill Dr Suite 2002 North Little Rock AR 72117-2922
Fax: (501) 202-3639
Website:

Health care specialties

Profile Details

NPI number 1982688800
LBN Legal business name Beaver, Byron Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Aug 3rd, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982688800 NPPES
Texas MEDICAID 160896002
Texas Other 8AJ534
Texas MEDICAID 179030001
Texas Other P00094736

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