NPI 1437643145 · live from the CMS NPI Registry
Jerad Lee Beall, DO
Anesthesiology in Dallas, TX. National Provider Identifier 1437643145, active.
NPI record
| NPI | 1437643145 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 12222 Merit Dr Ste 600, Dallas, TX 75251 |
| Practice phone | 972-715-5000 |
| Mailing address | Po Box 840853, Dallas, TX 75284 |
| Enumerated | June 15, 2018 |
| Last updated | July 12, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | 51983 (SC) |
| Anesthesiology primary | 207L00000X | U8952 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.