Cody Ryan Beaver, M.D. Valid NPI
Individual provider · Pediatric Orthopaedic Surgery Physician · Fort Worth, TX
- NPI
- 1578881470
- Type
- Individual (Type 1)
- Primary specialty
- Pediatric Orthopaedic Surgery Physician (Orthopaedic Surgery)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207XP3100X
- License number
- R3034 (TX)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2010-05-17
- Last updated
- 2023-08-01
Practice location
1500 Cooper St
Fort Worth, TX 76104-2710
(682) 885-4405