Provider Demographics
NPI:1629075437
Name:BEIM, STEVEN ALEXANDER (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:ALEXANDER
Last Name:BEIM
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 1:1205 S AUSTIN ST
Mailing Address - Street 2:
Mailing Address - City:BRENHAM
Mailing Address - State:TX
Mailing Address - Zip Code:77833-4575
Mailing Address - Country:US
Mailing Address - Phone:979-251-9990
Mailing Address - Fax:979-251-7003
Practice Address - Street 1:1205 S AUSTIN ST
Practice Address - Street 2:
Practice Address - City:BRENHAM
Practice Address - State:TX
Practice Address - Zip Code:77833-4575
Practice Address - Country:US
Practice Address - Phone:979-251-9990
Practice Address - Fax:979-251-7003
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2008-11-26
Deactivation Date:2006-03-21
Deactivation Code:
Reactivation Date:2006-03-27
Provider Licenses
StateLicense IDTaxonomies
TXJ8909207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX112003201Medicaid
TX76-0602649OtherFEDERAL TAX IDENTIFICATIO
TX180036019Medicare PIN
TXF85739Medicare UPIN
TX8234MOMedicare PIN
TX112003201Medicaid