Individual
PHILIP C BECHTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 MISTLETOE BLVD, SUITE 200, FORT WORTH, TX 76104-4014
(817) 878-5333
(817) 878-5334
Mailing address
1900 MISTLETOE BLVD, SUITE 200, FORT WORTH, TX 76104-4014
(817) 878-5333
(817) 878-5334
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
D8142
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110110704
—
TX
01
—
8H9670
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/10/2006
Last updated
04/21/2014
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