Provider Demographics
NPI:1407086457
Name:PATRICK H, BECKHAM MD & ASSOCIATES
Entity Type:Organization
Organization Name:PATRICK H, BECKHAM MD & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:HUBERT
Authorized Official - Last Name:BECKHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-459-1442
Mailing Address - Street 1:1212 HAVRE LAFITTE DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6858
Mailing Address - Country:US
Mailing Address - Phone:512-459-1442
Mailing Address - Fax:512-478-1810
Practice Address - Street 1:1212 HAVRE LAFITTE DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-6858
Practice Address - Country:US
Practice Address - Phone:512-459-1442
Practice Address - Fax:512-478-1810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-23
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD7892208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB21156Medicare UPIN