Dr. Bret Beavers, MD
Orthopaedic Surgery in Fort Worth, TX. Individual provider (NPI-1).
NPI number1821354119
StatusActive
Last updated in NPPESOct 8, 2020
Details
- NPI
- 1821354119
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bret Beavers
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 11, 2012
- Certification date
- Oct 8, 2020
- Last updated
- Oct 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | P1268 | TX | Yes |
Practice location
2901 Acme Brick PlzFort Worth, TX 76109-4124
Phone 817-529-1900 · Fax 817-529-1910
Mailing address
2901 Acme Brick PlzFort Worth, TX 76109-4124
Phone 817-529-1900 · Fax 817-529-1910
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