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Mikeal D. Beck
Prosthetic/Orthotic Supplier in Weatherford, Texas
NPI 1275500126

Mikeal D. Beck is a Prosthetic/Orthotic Supplier based in Weatherford, TX. Mikeal D. Beck practices in Weatherford, TX. The NPI Number for Mikeal D. Beck is 1275500126 and holds a License No. 77 (Texas).

The current practice location address for Mikeal D. Beck is 228 Santa Fe Dr, Weatherford, TX and can be reached out via phone at 817-594-1000 and via fax at 817-594-8011.

Location: 228 Santa Fe Dr, Weatherford, TX, 76086-1235
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275500126
Provider Name
Mikeal D. Beck
Credential
Provider Entity Type
Organization
Address
228 Santa Fe Dr, Weatherford, TX, 76086-1235
Phone Number
817-594-1000
Fax Number
817-594-8011
Provider Enumeration Date
02/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10027576 01 TX AMERIGROUP
7841338 01 TX AETNA
145839001 05 TX
531002 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
228 Santa Fe Dr
City
Weatherford
State
Texas
Zip
76086-6559
Phone Number
817-594-1000
Fax Number
817-594-8011
person
Provider Business Mailing Address Details
Address
228 Santa Fe Dr
City
Weatherford
State
Texas
Zip
76086-6559
Phone Number
817-594-1000
Fax Number
817-594-8011
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
77 (Texas)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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