Healthcare Provider Details

I. General information

NPI: 1962394437
Provider Name (Legal Business Name): STEVEN THOMAS BEUKE APRN, FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2025
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1339 S BROADWAY ST
SULPHUR SPRINGS TX
75482-4895
US

IV. Provider business mailing address

1260 COUNTY ROAD 2105
COOPER TX
75432-7243
US

V. Phone/Fax

Practice location:
  • Phone: 903-951-1001
  • Fax: 903-951-1004
Mailing address:
  • Phone: 951-310-4791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1206785
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: