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NPI Code Detail

MEDICARE: DR. KYLE BEASLEY MD

MEDICARE:  DR. KYLE  BEASLEY  MD
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
1207P00000XEmergency Medicine PhysicianT7866TX
2207P00000XEmergency Medicine Physician2026021125MO
3390200000XStudent in an Organized Health Care Education/Training Program
4207P00000XEmergency Medicine PhysicianMD.42109AL

General Provider Information

NPI Number : 1295296010
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KYLE BEASLEY MD
Provider Business Mailing Address
First Line : 2101 PEASE ST
Second Line :
City : HARLINGEN
State : TX
Zip : 78550-8307
Country : US
Telephone Number : 956-389-1100
Fax Number :
Provider Business Practice Location Address
First Line : 2101 PEASE ST
Second Line :
City : HARLINGEN
State : TX
Zip : 78550-8307
Country : US
Telephone Number : 956-389-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2019
Last Update Date : 06/03/2026

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Directions to “ DR. KYLE BEASLEY MD” Practice Location

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