Provider Demographics
NPI:1730749003
Name:BEEM, SHELBY ANASTASIA (DO)
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:ANASTASIA
Last Name:BEEM
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 650859
Mailing Address - Street 2:DEPT 710
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75265-2261
Mailing Address - Country:US
Mailing Address - Phone:409-747-6240
Mailing Address - Fax:254-313-4549
Practice Address - Street 1:128 W PARKWOOD AVE
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-5431
Practice Address - Country:US
Practice Address - Phone:281-482-5695
Practice Address - Fax:254-313-4549
Is Sole Proprietor?:No
Enumeration Date:2019-06-18
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10067497207Q00000X
TXT7867207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine