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NPI Code Detail

MEDICARE: ADAM BEYER D.O.

MEDICARE: ADAM BEYER D.O.
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
12086S0129XVascular Surgery PhysicianV7826TX

General Provider Information

NPI Number : 1457884306
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM BEYER D.O.
Provider Business Mailing Address
First Line : PO BOX 84891
Second Line :
City : DALLAS
State : TX
Zip : 75284-8491
Country : US
Telephone Number : 254-202-9330
Fax Number :
Provider Business Practice Location Address
First Line : 50 HILLCREST MEDICAL BLVD STE 303
Second Line :
City : WACO
State : TX
Zip : 76712-8955
Country : US
Telephone Number : 254-202-0480
Fax Number : 254-202-0488
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2017
Last Update Date : 12/01/2025

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