| Gerald A Beathard, MD | |
|
400 Harborside Dr, Ste 105-107, Galveston, TX 77555-0001 | |
| (409) 747-1883 | |
| (409) 747-8579 |
| Full Name | Gerald A Beathard |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Nephrology |
| Location | 400 Harborside Dr, Galveston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467654541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D1543 (Texas) | Secondary |
| 174400000X | Specialist | D1543 (Texas) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | D1543 (Texas) | Primary |
| Entity Name | Utmb Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald A Beathard, MD 5135 Holly Terrace Dr, Houston, TX 77056-2125 Ph: (512) 970-9054 | Gerald A Beathard, MD 400 Harborside Dr, Ste 105-107, Galveston, TX 77555-0001 Ph: (409) 747-1883 |
Diaa Hamouda, MBBCH Nephrology Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Jsa 9.128, Galveston, TX 77555 Phone: 409-772-8031 Fax: 409-772-6940 | |
Syed Mustajab Hasan, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1005 Harborside Drive, Galveston, TX 77555 Phone: 409-762-2328 Fax: 832-632-7866 | |
Arielle Degueure, MD Nephrology Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-747-1883 Fax: 409-747-8579 | |
Olivia C Arriaza, MD Nephrology Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-747-1883 Fax: 409-747-8579 | |
Dr. Shawn Pua Eiko Nishi, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-643-4587 | |
Suyuan Tan, Nephrology Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-747-1883 | |
Dr. Erin Dindoruk, DO Nephrology Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-747-1883 |