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BEAVER MEDICAL GROUP, PLLC
NPI 1093038648
Internal Medicine in San Antonio, TX

Active since March 10, 2010CLIA 45D2005361 · Waiver
7541 US HIGHWAY 87 E., SUITE #1, SAN ANTONIO, TX 78263(210) 648-9900(210) 648-9902 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beaver Medical Group, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEAVER MEDICAL GROUP, PLLC (NPI 1093038648) is a healthcare organization registered as an internal medicine in San Antonio, Texas and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through March 24, 2028 and lists Tracey L Frias, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1093038648
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBEAVER MEDICAL GROUP, PLLC
Location Address7541 US HIGHWAY 87 E., SUITE #1San Antonio, TX 78263-2407
Mailing Address7541 Us Highway 87 E., Suite #1San Antonio, TX 78263 · (210) 648-9900 · Fax (210) 648-9902
Phone(210) 648-9900
Fax(210) 648-9902
Organization SubpartNo
Authorized OfficialTracey L FriasPractice Manager · (210) 648-9900
Enumeration DateMarch 10, 2010
Last NPPES UpdateJune 11, 2026
NPPES CertifiedJune 11, 2026
✔ NPI 1093038648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedNurse PractitionerTaxonomy 363L00000X
7541 US HIGHWAY 87 E., San Antonio, TX 78263
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2005361

Beaver Medical Group PLLC · San Antonio, TX
Active · expires Mar 24, 2028
CLIA Number45D2005361
Laboratory TypePhysician Office
Certificate Effective DateMarch 25, 2026
Certificate Expiration DateMarch 24, 2028
Laboratory DirectorGail L. Beaver
Laboratory Phone(210) 648-9900
Laboratory LocationBeaver Medical Group PLLC7541 Us Hwy 87 East Ste 1, San Antonio, TX 78263
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beaver Medical Group, PLLC's NPI number?

The NPI number for Beaver Medical Group, PLLC is 1093038648. It was assigned to this organization in the NPPES registry on March 10, 2010.

Where is Beaver Medical Group, PLLC located?

Beaver Medical Group, PLLC is located at 7541 Us Highway 87 E. Suite #1, San Antonio, TX 78263. The listed phone number is (210) 648-9900.

What is Beaver Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Beaver Medical Group, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2005361) is associated with this NPI, valid through March 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Beaver Medical Group, PLLC was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.