Bruce Damon Beasley in Fort Worth - Physician Assistant
Bruce Damon Beasley - NPI 1750401634
Bruce Damon Beasley is a Physician Assistant in Fort Worth, Texas. Bruce Damon Beasley practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Bruce Damon Beasley is 1750401634. The last update date is 2021-05-10.
Bruce Damon Beasley's current location address is 1500 Cooper St, Fort Worth, Texas. You can contact this provider via phone number 6828854095 and fax number 6828857934. The mailing address for Bruce Damon Beasley is 1500 Cooper St, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bruce Damon Beasley |
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Address | 1500 Cooper St, Fort Worth, Texas |
Phone Number | 6828854095 |
Fax Number | 6828857934 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1750401634 |
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Provider Enumeration Date | 2007-04-02 |
Last Updated Date | 2021-05-10 |
Provider Mailing Address Detail
Address | 1500 Cooper St |
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City | Fort Worth |
State | Texas (TX) |
Post Code | 761042710 |
Phone Number | 6828854095 |
Fax Number | 6828857934 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA02062 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to Bruce Damon Beasley by the Centers for Medicare & Medicaid Services?
The Bruce Damon Beasley has been assigned the NPI (National Provider Identifier) 1750401634. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Bruce Damon Beasley's facilities are geographically located?
The facilities of Bruce Damon Beasley are physically situated at the following location: 1500 Cooper St, Fort Worth, TX, 761042710.
What is Bruce Damon Beasley's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bruce Damon Beasley is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
When did Bruce Damon Beasley receive its 1750401634 assignment?
The Bruce Damon Beasley was assigned its 1750401634 on 2007-04-02, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Bruce Damon Beasley most recently updated or revised?
The details related to Bruce Damon Beasley, including its address, specialty, and other relevant information, were last updated or revised on 2021-05-10.