Beavers, Bruce

Beavers, Bruce is an sole proprietor health care provider with primary practice located at 8220 Walnut Hill Ln Suite 300, Dallas TX 75231-4427. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Beavers, Bruce can be contacted via phone (214) 265-1900.

Contact Information

Primary practice address
8220 Walnut Hill Ln Suite 300 Dallas TX 75231-4427
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G3143 Texas

Profile Details

NPI number 1215914817
LBN Legal business name Beavers, Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2005
Last updated May 24th, 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 1215914817 NPPES
Texas Other 889161 BCBS

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