Individual
TERRY JACKMAN BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2117 S CLEAR CREEK RD, KILLEEN, TX 76549-4110
(254) 526-0188
(254) 200-4090
Mailing address
PO BOX 938, KILLEEN, TX 76540-0938
(254) 634-6999
(254) 200-4099
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
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