Byron Kevin Beaver, M.D., P.a.

Organization Active NPI Undersea and Hyperbaric Medicine (Emergency Medicine) Physician · Beaumont, TX

NPI 1073646014 · NPPES record last updated Jun 21, 2018

Key facts

NPI
1073646014
Entity type
Organization (NPI type 2)
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X
License
L6781 (TX)
Legal business name
BYRON KEVIN BEAVER, M.D., P.A.
Practice address
755 North 11TH Street
Suite D1001
Beaumont, TX 77702
Phone
(409) 899-8534
Fax
(409) 899-8304
NPI assigned
Mar 13, 2007
Organization subpart
No

Authorized official

Name
Dr. Byron Kevin Beaver, M.D.
Title
President
Phone
(409) 899-8534

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

755 N 11th St
Ste D1001
Beaumont, TX 77702
Phone (409) 924-6975

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207PE0005X L6781 TX Yes

Addresses

Primary practice location

755 North 11TH Street
Suite D1001
Beaumont, TX 77702

Mailing address

PO Box 202024
Dallas, TX 75320-2024
Phone (409) 899-8534

Other identifiers

IdentifierTypeStateIssuer
DG1538OtherTXRAILROAD MEDICARE GROUP
0023QJOtherTXBCBS GROUP

Other providers in Beaumont, TX

All providers in Beaumont, TX · Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Texas

Sources for this page

Verify at the official NPI Registry.