Provider Demographics
NPI:1891825469
Name:ROBERT E BEESON MD PA
Entity Type:Organization
Organization Name:ROBERT E BEESON MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:BEESON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-306-9699
Mailing Address - Street 1:1075 KINGWOOD DR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-3006
Mailing Address - Country:US
Mailing Address - Phone:281-358-8114
Mailing Address - Fax:281-358-0609
Practice Address - Street 1:4201 GARTH RD
Practice Address - Street 2:SUITE 212
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3167
Practice Address - Country:US
Practice Address - Phone:281-420-9355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ3279207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0066PLOtherBCBS
TX614367800OtherDEPARTMENT OF LABOR
TX191796501Medicaid
TXDG0945OtherRAILROAD MEDICARE
TX0066PLOtherBCBS