MEDICARE: DR NED E BEISER PROFESSIONAL ASSOCIATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1184050379
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR NED E BEISER PROFESSIONAL ASSOCIATION

Provider Business Mailing Address
First Line	:	PO BOX 741028
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75374-1028
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	302 N ZANG BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208-4439
Country	:	US
Telephone Number	:	214-943-6636
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. NED BEISER
Credential	:
Telephone Number	:	214-943-6636

Provider Enumeration Date	:	09/19/2013
Last Update Date	:	11/07/2013

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