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
Phone: (214) 265-1900
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215914817 | NPPES |
Texas | Other | 889161 | BCBS |
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