Provider Demographics
NPI:1891848271
Name:BEATY, ANDREW DODSON (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:DODSON
Last Name:BEATY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4200 S HULEN ST STE 230
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76109-4924
Mailing Address - Country:US
Mailing Address - Phone:817-315-2550
Mailing Address - Fax:817-732-4660
Practice Address - Street 1:4200 S HULEN ST STE 230
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-4924
Practice Address - Country:US
Practice Address - Phone:817-315-2550
Practice Address - Fax:817-732-4660
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2020-06-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL8612207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology