Provider Demographics
NPI:1649750605
Name:BESHIR, AMIR
Entity Type:Individual
Prefix:
First Name:AMIR
Middle Name:
Last Name:BESHIR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 CAVALIER CT APT 618
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-6464
Mailing Address - Country:US
Mailing Address - Phone:469-432-0208
Mailing Address - Fax:
Practice Address - Street 1:700 CAVALIER CT APT 618
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-6464
Practice Address - Country:US
Practice Address - Phone:469-432-0208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-20
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX943441163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse