Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | M0662 | TX |
Y | 207VE0102X | Reproductive Endocrinologist | M0662 | TX |
NPI | 1285721605 |
---|---|
Provider Name | Victor Emmanuel Beshay |
First Address | Allen, TX 75013-5066 |
Second Address | Allen, TX 75013 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 22/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
173573001 | (05) | TX |
I31267 | (02) |