CLIFTON H BEASLEY JR.


Address: 900 W Magnolia Ave, Suite 202, Fort Worth, TX 76104-8517
Phone: 8173340882

CLIFTON H BEASLEY JR. (NPI# 1780675611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780675611
Entity Type Individual
Full Name CLIFTON H BEASLEY JR.
Credential MD
Practice Address 900 W Magnolia Ave
Suite 202
Fort Worth
TX 76104-8517
Mailing Address Po Box 650037
Dallas
TX 75265-0037
Practice Telephone 8173340882
Practice Fax Number 8173340885
Mailing Telephone 2146962008
Enumeration Date 2005-10-31
Last Update Date 2014-04-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology E3851 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 48795102 05
TX 48795103 05
TX RAILROAD MEDICARE P00781819 01

Other Providers CLIFTON BEASLEY

NPI Name Taxonomy Address Enumeration
1851708960 Clifton Beasley Pharmacist 2150 Walker Building, Auburn, AL 36849-0001 2014-07-21

Office Location

Street Address 900 W MAGNOLIA AVE
SUITE 202
City FORT WORTH
State TX
Zip Code 76104-8517

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750821872 Jackie Cherry Nurse Practitioner 900 W Magnolia Ave, Suite 201, Fort Worth, TX 76104-8517 2017-03-08
1821469107 Rafaella Izar Wallace Nurse Practitioner 900 W Magnolia Ave, Ste 100, Fort Worth, TX 76104-8517 2015-10-13
1235508250 Meagan Collins Nurse Practitioner 900 W Magnolia Ave, Fort Worth, TX 76104-8517 2015-09-21
1184038317 Shelly Smith Chaudhari Nutritionist 900 W Magnolia Ave, Fort Worth, TX 76104-8517 2014-06-16
1851720973 Meghan A Freed Nurse Practitioner 900 W Magnolia Ave, Ste 100, Fort Worth, TX 76104-8517 2013-11-08
1548604291 Margaret Cecere Holland Family Medicine 900 W Magnolia Ave, Fort Worth, TX 76104-8517 2013-04-24
1104165083 Amy Lynn Stevens Nurse Practitioner 900 W Magnolia Ave, Ste 100, Fort Worth, TX 76104-8517 2013-02-12
1124363460 Kelly Tripplehorn Nurse Practitioner 900 W Magnolia Ave, Ste 100, Fort Worth, TX 76104-8517 2012-11-27
1326316019 Susan Deering Clinical Nurse Specialist 900 W Magnolia Ave, Ste 100, Fort Worth, TX 76104-8517 2011-12-08
1104110956 Jason David Troha Nurse Practitioner 900 W Magnolia Ave, Suite 201, Fort Worth, TX 76104-8517 2011-06-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669082186 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1115 8th St, Fort Worth, TX 76104 2020-08-10
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1104480656 Swarnalaxmi Umapathy Student in an Organized Health Care Education/Training Program 900 8th Avenue, Fort Worth, TX 76104 2019-04-30
1881189132 Mega Surgical Assistants LLC Specialist/Technologist, Other 1301pennsylvania, Fort Worth, TX 76104 2018-06-28
1356848899 Tricia Kelly Nurse Practitioner 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 2018-04-11
1952820979 Modern Vein Clinic Internal Medicine 757 8th Avenue, Suite A, Forth Worth, TX 76104 2017-09-11
1790207165 Vanessa Abbood Dietitian, Registered 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 2017-07-07
1922537562 Nicole Marie Tod Student in an Organized Health Care Education/Training Program 1500 S Main Street, Fort Worth, TX 76104 2017-06-07
1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962050492 Precision Ambulatory Surgery Center, LLC Ophthalmology 9439 North Beach Street, Fort Worth, TX 76244 2019-08-28
1538450721 Kim-binh Thi Mai Ophthalmology 3824 N Tarrant Pkwy Ste 310, Fort Worth, TX 76244-5431 2011-04-22
1063720654 Texas Health Care, P.l.l.c. Ophthalmology 4950 Overton Ridge Blvd., Fort Worth, TX 76132-1909 2010-09-17
1023336633 Taylor Boyd Strange Ophthalmology 4501 Heritage Trace Pkwy, Suite 121, Fort Worth, TX 76244-8940 2010-05-06
1649418831 Dan A. Willis, M.d., P.a. Ophthalmology 1325 Pennsylvania Ave Ste 670, Fort Worth, TX 76104-2133 2009-01-27
1679630131 Texas Health Care, P.l.l.c. Ophthalmology 4932 Overton Ridge, Fort Worth, TX 76132-0000 2007-01-03
1043237647 Harry Rosenthal Jr. Ophthalmology 4932 Overton Ridge Blvd, Fort Worth, TX 76132-1909 2006-07-17
1528009214 Harold Granek Mdpa Ophthalmology 1021 Washington Ave, Fort Worth, TX 76104-3021 2006-06-10
1497792089 Dan A Willis Ophthalmology 1000 9th Ave, Ste. B, Fort Worth, TX 76104-3906 2006-06-01
1861456584 Judson P Smith IIi Ophthalmology 417 W Magnolia Ave, Fort Worth, TX 76104 2006-04-12
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City FORT WORTH
Zip Code 76104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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