Provider Demographics
NPI:1568666493
Name:BEALE, EVAN W (MD)
Entity Type:Individual
Prefix:DR
First Name:EVAN
Middle Name:W
Last Name:BEALE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:7777 FOREST LN
Mailing Address - Street 2:SUITE B116
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2571
Mailing Address - Country:US
Mailing Address - Phone:972-566-3001
Mailing Address - Fax:972-566-3401
Practice Address - Street 1:7777 FOREST LN
Practice Address - Street 2:SUITE B116
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2571
Practice Address - Country:US
Practice Address - Phone:972-566-3001
Practice Address - Fax:972-566-3401
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2018-10-23
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Provider Licenses
StateLicense IDTaxonomies
TXP29552082S0099X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and Neck