Provider Demographics
NPI:1306287040
Name:BESHIRES, JAMES ARLEN JR (DOM)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ARLEN
Last Name:BESHIRES
Suffix:JR
Gender:M
Credentials:DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8631 GOLF COURSE RD NW
Mailing Address - Street 2:SUITE D
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-6347
Mailing Address - Country:US
Mailing Address - Phone:505-453-0120
Mailing Address - Fax:
Practice Address - Street 1:8631 GOLF COURSE RD NW
Practice Address - Street 2:SUITE D
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-6347
Practice Address - Country:US
Practice Address - Phone:505-453-0120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-10
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1042171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist