Beavers, Guy Randall

Beavers, Guy Randall is an individual health care provider with primary practice located at 4314 W. Braker Ln Suite 215, Spring TX 78757-0000. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Beavers, Guy Randall can be contacted via phone (512) 327-4123.

Contact Information

Primary practice address
4314 W. Braker Ln Suite 215 Spring TX 78757-0000
Phone: (512) 327-4123
Fax: (512) 327-9156
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3914TG Texas

Profile Details

NPI number 1144279092
LBN Legal business name Beavers, Guy Randall
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Sep 12th, 2013 - about 11 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 1144279092 NPPES
Texas Other 00308V MEDICARE GROUP PTAN

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