Organization
NEIL M. BEALKA JR.,M.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALVIA A ROBLES (OFFICE MANAGER)
(254) 865-4267
Entity
Organization
Contact information
Practice address
2406 S. BUSINESS HWY 36, GATESVILLE, TX 76528
(254) 865-4267
(254) 865-8293
Mailing address
2406 S. BUSINESS HWY 36, GATESVILLE, TX 76528-2518
(254) 865-4267
(254) 865-8293
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
J3044
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133678608
—
TX
05
—
141555601
—
TX
01
—
8246M0
BLUE CROSS
TX
Enumeration date
10/22/2007
Last updated
01/22/2008
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