Provider Demographics
NPI:1417958869
Name:BEAVER, HILARY A (MD)
Entity Type:Individual
Prefix:DR
First Name:HILARY
Middle Name:A
Last Name:BEAVER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6560 FANNIN ST
Mailing Address - Street 2:SUITE 450
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2761
Mailing Address - Country:US
Mailing Address - Phone:713-441-8843
Mailing Address - Fax:713-441-6463
Practice Address - Street 1:6560 FANNIN ST
Practice Address - Street 2:SUITE 450
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2761
Practice Address - Country:US
Practice Address - Phone:713-441-8843
Practice Address - Fax:713-441-6463
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA33313207W00000X
TXJ8201207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0203117Medicaid
TX135941609Medicaid
TX8BZ873OtherBLUE CROSS BLUE SHIELD
TX135941610Medicaid
TXP01063004OtherRAILROAD MEDICARE
IA15256OtherWELLMARK BCBS
IA0203117Medicaid
TXP01063004OtherRAILROAD MEDICARE
IA180039128Medicare PIN
IA15256Medicare PIN
TX8BZ873OtherBLUE CROSS BLUE SHIELD
IA15256OtherWELLMARK BCBS