Provider Demographics
NPI:1639232952
Name:BEAMER, JUNE ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:JUNE
Middle Name:ELIZABETH
Last Name:BEAMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:719 W COKE RD
Mailing Address - Street 2:BUILDING 3 SUITE 3
Mailing Address - City:WINNSBORO
Mailing Address - State:TX
Mailing Address - Zip Code:75494-3011
Mailing Address - Country:US
Mailing Address - Phone:903-342-3376
Mailing Address - Fax:903-342-3373
Practice Address - Street 1:719 W COKE RD
Practice Address - Street 2:BUILDING 3 SUITE 3
Practice Address - City:WINNSBORO
Practice Address - State:TX
Practice Address - Zip Code:75494-3011
Practice Address - Country:US
Practice Address - Phone:903-342-3376
Practice Address - Fax:903-342-3373
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG18677207N00000X
TXN7679207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA40394Medicare UPIN
TXTXB139378Medicare PIN