Provider Demographics
NPI:1891962668
Name:TIMOTHY A BESTE MD PA
Entity Type:Organization
Organization Name:TIMOTHY A BESTE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:BESTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-436-2551
Mailing Address - Street 1:800 S STEMMONS FWY
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-5300
Mailing Address - Country:US
Mailing Address - Phone:972-436-2551
Mailing Address - Fax:972-420-0577
Practice Address - Street 1:800 S STEMMONS
Practice Address - Street 2:
Practice Address - City:LEWISVIILE
Practice Address - State:TX
Practice Address - Zip Code:75067-5300
Practice Address - Country:US
Practice Address - Phone:972-436-2551
Practice Address - Fax:972-420-0577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH0179207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty