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John R. Beauchamp M.d., P.a
Specialist in San Antonio, Texas
NPI 1376650887

John R. Beauchamp M.d., P.a is a Specialist based in San Antonio, TX. John R. Beauchamp M.d., P.a practices in San Antonio, TX. The NPI Number for John R. Beauchamp M.d., P.a is 1376650887 and holds a License No. D1544 (Texas).

The current practice location address for John R. Beauchamp M.d., P.a is 7959 Broadway St, San Antonio, TX and can be reached out via phone at 210-824-7938 and via fax at 210-805-9523.

Location: 7959 Broadway St, San Antonio, TX, 78209-2667
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376650887
Provider Name
John R. Beauchamp M.d., P.a
Credential
Provider Entity Type
Organization
Address
7959 Broadway St, San Antonio, TX, 78209-2667
Phone Number
210-824-7938
Fax Number
210-805-9523
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00J913 01 TX BLUE CROSS/BLUE SHIELD
4259770 01 TX AETNA NUMBER
institution
Provider Business Practice Location Address Details
Address
7959 Broadway St
City
San Antonio
State
Texas
Zip
78209-2667
Phone Number
210-824-7938
Fax Number
210-805-9523
person
Provider Business Mailing Address Details
Address
7959 Broadway St
City
San Antonio
State
Texas
Zip
78209-2667
Phone Number
210-824-7938
Fax Number
210-805-9523
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
D1544 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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