Provider Demographics
NPI:1265431431
Name:BEEMAN, DAVID C (CRNA)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:C
Last Name:BEEMAN
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4800 ALBERTA AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-2709
Mailing Address - Country:US
Mailing Address - Phone:915-545-6720
Mailing Address - Fax:915-545-5755
Practice Address - Street 1:4815 ALAMEDA AVE
Practice Address - Street 2:ANESTHESIOLOGY DEPARTMENT
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2705
Practice Address - Country:US
Practice Address - Phone:915-545-6560
Practice Address - Fax:915-545-6984
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX465068367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX132842917Medicaid
TX84112COtherBLUE CROSS
TX132842902Medicaid
TXTXB161089OtherMEDICARE
TXTXB161089OtherMEDICARE
TX430012161Medicare PIN