Byron Kevin Beaver, M.D., P.A.
Emergency Medicine, Undersea and Hyperbaric Medicine in Beaumont, TX. Organization (NPI-2).
NPI number1073646014
StatusActive
Last updated in NPPESJun 21, 2018
Details
- NPI
- 1073646014
- Entity type
- Organization (NPI-2)
- Legal business name
- Byron Kevin Beaver, M.D., P.A.
- Organization subpart
- No
- Enumeration date
- Mar 13, 2007
- Last updated
- Jun 21, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207PE0005X | Emergency Medicine, Undersea and Hyperbaric Medicine | L6781 | TX | Yes |
Practice location
755 North 11th StreetSuite D1001
Beaumont, TX 77702
Phone 409-899-8534 · Fax 409-899-8304
Mailing address
Po Box 202024Dallas, TX 75320-2024
Phone 409-899-8534 · Fax 409-899-8304
Authorized official
Byron Kevin Beaver
President
4098998534
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