Provider Demographics
NPI:1912935438
Name:BEESON, ROBERT E (MD)
Entity Type:Individual
Prefix:PROF
First Name:ROBERT
Middle Name:E
Last Name:BEESON
Suffix:
Gender:M
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:PO BOX 7350
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77508-7350
Mailing Address - Country:US
Mailing Address - Phone:405-947-8585
Mailing Address - Fax:405-948-6507
Practice Address - Street 1:3315 BURKE RD
Practice Address - Street 2:#300
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1827
Practice Address - Country:US
Practice Address - Phone:713-944-5151
Practice Address - Fax:405-948-6507
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ3279207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10674347OtherPPO NEXT HHPO
TX082170FOtherBC/BS
G04829Medicare UPIN
TX82170FMedicare PIN