MEDICARE: MR. EUGENE RAYSHAWN BEAVER JR. MS, LAT, ATC, CES

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	2255A2300X	Athletic Trainer	AT6335	TX

General Provider Information

NPI Number	:	1528920386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. EUGENE RAYSHAWN BEAVER JR. MS, LAT, ATC, CES

Provider Business Mailing Address
First Line	:	2312 OLIVER AVE
Second Line	:
City	:	LONGVIEW
State	:	TX
Zip	:	75605-3155
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2312 OLIVER AVE
Second Line	:
City	:	LONGVIEW
State	:	TX
Zip	:	75605-3155
Country	:	US
Telephone Number	:	562-244-7443
Fax Number	:

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

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

Similar Medicare Providers

1982370466 — ROBERT WAYNE BEAUDOIN
Practice Location Address:

3092 N EASTMAN RD STE 100
LONGVIEW, TX
75605-7950

Practice Phone: 903-323-5001
Practice Fax:

1013497932 — MONICA YVETTE PERRY COTA
Practice Location Address:

1154 E HAWKINS PKWY
LONGVIEW, TX
75605-7975

Practice Phone: 903-663-2750
Practice Fax:

1629956545 — WALGREEN CO
Practice Location Address:

3121 N EASTMAN RD STE B
LONGVIEW, TX
75605-5071

Practice Phone: 903-686-3293
Practice Fax: 903-686-3294

1194051128 — LAGRONE AND ADCOCK DDS PLLC
Practice Location Address:

2904 N 4TH ST STE 106
LONGVIEW, TX
75605-5129

Practice Phone: 903-758-3700
Practice Fax: 903-234-8658

1760971105 — MRS. JOYCE EBOBOSERE GENTRY FNP-C, PMHNP-BC
Practice Location Address:

101 W HAWKINS PKWY STE 1
LONGVIEW, TX
75605-1833

Practice Phone: 903-331-0162
Practice Fax: 903-331-0132

1568031771 — PRIORITY BEHAVIORAL HEALTH
Practice Location Address:

101 W HAWKINS PKWY STE 1
LONGVIEW, TX
75605-1833

Practice Phone: 903-331-0162
Practice Fax: 903-331-0132

Directions to “ MR. EUGENE RAYSHAWN BEAVER JR. MS, LAT, ATC, CES” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.