Provider Demographics
NPI:1285721605
Name:BESHAY, VICTOR EMMANUEL (MD)
Entity type:Individual
Prefix:
First Name:VICTOR
Middle Name:EMMANUEL
Last Name:BESHAY
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 1:980 RAINTREE CIR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-5066
Mailing Address - Country:US
Mailing Address - Phone:214-383-2600
Mailing Address - Fax:214-383-2601
Practice Address - Street 1:980 RAINTREE CIR
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013
Practice Address - Country:US
Practice Address - Phone:214-383-2600
Practice Address - Fax:214-383-2601
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0662207V00000X, 207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX173573001Medicaid
TX173573001Medicaid
I31267Medicare UPIN