Healthcare Provider Details

I. General information

NPI: 1144288127
Provider Name (Legal Business Name): CHRISTY ANNA BEYER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 07/03/2024
Certification Date: 07/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14355 MIRANDA WAY
LOS ALTOS HILLS CA
94022-2032
US

IV. Provider business mailing address

14 CHAMPION TRL
SAN ANTONIO TX
78258-4808
US

V. Phone/Fax

Practice location:
  • Phone: 888-731-8994
  • Fax:
Mailing address:
  • Phone: 312-952-5592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number036109533
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberR9038
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: