MEDICARE: RICHARD LEIGH BEAVER 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	207X00000X	Orthopaedic Surgery Physician	L9094	TX
2	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician	L9094	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00824674	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8AD234	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	5978718	OTHER	TX	AETNA

General Provider Information

NPI Number	:	1528037512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD LEIGH BEAVER M.D.

Provider Business Mailing Address
First Line	:	10125 KATY FWY STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-1287
Country	:	US
Telephone Number	:	713-486-1700
Fax Number	:	713-467-6775

Provider Business Practice Location Address
First Line	:	10125 KATY FWY STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-1287
Country	:	US
Telephone Number	:	713-486-1700
Fax Number	:	713-467-6775

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	07/25/2022

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Directions to “ RICHARD LEIGH BEAVER M.D.” Practice Location

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