Guy Randall Beavers, OD
Optometrist in Spring, TX. Individual provider (NPI-1).
NPI number1144279092
StatusActive
Last updated in NPPESSep 12, 2013
Details
- NPI
- 1144279092
- Entity type
- Individual (NPI-1)
- Name
- Guy Randall Beavers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 9, 2006
- Last updated
- Sep 12, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 3914TG | TX | Yes |
Practice location
4314 W. Braker LnSuite 215
Spring, TX 78757-0000
Phone 512-327-4123 · Fax 512-327-9156
Mailing address
4314 W. Braker LnSuite 215
Spring, TX 78757-0000
Phone 512-327-4123 · Fax 512-327-9156
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