P Praxis·MD
● Active Type 1 · Individual

MRS. Jessica Rose Beaver

Military Health Care Provider·Dyess Afb, TX· NPI 1154994838 · Enumerated 2021 · 4 years on NPI
Beaver is 1 of 8 military health care provider providers in Dyess Afb and 1 of 142 in Texas.
NPI age
4 years
Enumerated 2021-07-21
Primary specialty
Military Health Care Provider
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2023-09-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 142 active military health care provider providers in Texas.

NPI age
4 years
↓ 8 yr below median (12 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
1% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-07Enumerated in NPPES
2021 2026

Where they practice

Practice location
697 Louisiana Rd Bldg 9201
Dyess Afb, TX 796071141
📞 3256966603
Mailing address
4 Higgins Dr
Vernon, NJ 074623025
📞 9739411237

Additional practice locations

1 secondary location on file with NPPES.

Location 2
3041 Gilmer Ave
Abilene, TX 796063422
📞 9739411237

Specialties

  • Military Health Care Provider Primary
    An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and...
    taxonomy 1710I1003X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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