MEDICARE: DR. PETER BEITSCH M.D.

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	2086X0206X	Surgical Oncology Physician	H2239	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

General Provider Information

NPI Number	:	1336187731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER BEITSCH M.D.

Provider Business Mailing Address
First Line	:	8140 WALNUT HILL LN STE 800
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4396
Country	:	US
Telephone Number	:	214-350-6672
Fax Number	:	214-452-5643

Provider Business Practice Location Address
First Line	:	8140 WALNUT HILL LN STE 800
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4396
Country	:	US
Telephone Number	:	214-350-6672
Fax Number	:	214-452-5643

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

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	03/12/2024

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