Provider Demographics
NPI:1003846445
Name:BESHIRES, ERIC D (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:D
Last Name:BESHIRES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5345 N GEORGE BUSH FWY
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-2767
Mailing Address - Country:US
Mailing Address - Phone:972-495-5888
Mailing Address - Fax:972-495-0588
Practice Address - Street 1:5345 N PRESIDENT GEORGE BUSH HWY
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-2767
Practice Address - Country:US
Practice Address - Phone:972-495-5888
Practice Address - Fax:972-495-0588
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0263207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX86100GOtherBCBS
TX080120301OtherRR MEDICARE
TX101692502Medicaid
TX86100GOtherBCBS
TXG56053Medicare UPIN