Individual
TERRY JACKMAN BEAL
Active
Individual
TERRY JACKMAN BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
F3403
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108270100
FIRST CARE
TX
05
—
120150103
—
TX
01
—
4409159
AETNA
TX
01
—
742175905001
TRICARE
TX
01
—
806541
GREAT WEST
TX
01
—
826203342
MEDICARE RAILROAD
TX
01
—
83042
SCOTT & WHITE
TX
01
—
85280F
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/16/2005
Last updated
07/30/2008
Update your record
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