Beery, Paul Dwight
Beery, Paul Dwight is an sole proprietor health care provider with primary practice located at 713 E Anderson St , Weatherford TX 76086-5705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Beery, Paul Dwight can be contacted via phone (817) 596-8751.Contact Information
Primary practice address
713 E Anderson St
Weatherford TX 76086-5705
Phone: (817) 596-8751
Fax: (817) 599-1441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MDD4029 | Texas |
Profile Details
| NPI number | 1962566117 |
|---|---|
| LBN Legal business name | Beery, Paul Dwight |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Feb 19th, 2014 - about 10 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 | 1962566117 | NPPES |
| Texas | MEDICAID | 033047401 | |
| Texas | Other | 15654 | |
| Texas | Other | 826302203A | |
| Texas | Other | 00ET77 | |
| Texas | Other | MDD4029 |
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