Cody Ryan Beaver M.D.

NPI 1578881470 - Surgery - 208600000X

NPI Details
NPI 1578881470
Gender Male
Enumeration Date 05/17/2010
Last Updated 06/09/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
3601 4TH ST
MAIL STOP 9436
LUBBOCK TX, 79430-0002, US
Phone (806) 743-4263
Fax (806) 743-1919
Business Location
3601 4TH ST
MAIL STOP 9436
LUBBOCK TX, 79430-0002, US
Phone (806) 743-4263
Fax (806) 743-1919
Toxanomy
Taxonomy Code 208600000X
License State Texas
License Number BP1 0036956
Remove 1578881470 NPI Number
 

According to our database, Cody Ryan Beaver M.D. NPI is 1578881470, taxonomy code is 208600000X and license number is BP1 0036956, license state is located at Texas. Cody Ryan Beaver M.D. physically located at 3601 4th St, Lubbock TX, 79430-0002. NPI Number Cody Ryan Beaver M.D. has the Individual type.

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1578881470 NPI number is provided on an as is basis without warranty of any kind. 1578881470 is maintained by the National Plan & Provider Enumeration System. The contents of Cody Ryan Beaver M.D. are for informational purposes only.