MEDICARE: CHESTER W BEYER JR. 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
1	207L00000X	Anesthesiology Physician	D6952	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	P01445840	OTHER	TX	RAILROAD
3	8EH267	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1881697159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHESTER W BEYER JR. MD

Provider Business Mailing Address
First Line	:	PO BOX 840853
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-0865
Country	:	US
Telephone Number	:	972-715-1999
Fax Number	:	972-233-3666

Provider Business Practice Location Address
First Line	:	6606 LBJ FWY
Second Line	:	SUITE 200
City	:	DALLAS
State	:	TX
Zip	:	75240
Country	:	US
Telephone Number	:	972-715-5000
Fax Number	:	972-715-9976

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	05/31/2018

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Directions to “ CHESTER W BEYER JR. MD” Practice Location

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