Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | L5988 | TX |
N | 2080P0203X | Pediatric Critical Care Doctor | L5988 | TX |
Y | 2080P0204X | Pediatric Emergency Doctor | L5988 | TX |
NPI | 1588866164 |
---|---|
Provider Name | Sara Lynn Beers |
First Address | Dallas, TX 75284-5347 |
Second Address | Dallas, TX 75390-7208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2007 |
Last Update Date | 23/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
167454108 | (05) | TX |
167454109 | CSHCN (01) | TX |