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Individual

DR. ERIC JOSEPH BEADLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4560 LAKE RIDGE PARKWAY, SUITE 200, GRAND PRAIRIE, TX 75052
(972) 263-5272
(972) 263-3488
Mailing address
3400 W WHEATLAND RD, PAV III STE#360, DALLAS, TX 75237-4418
(214) 884-4700
(214) 884-4749

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M2900
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
182842801
TX
01
8A7727
BC/BS
TX
Enumeration date
04/04/2006
Last updated
06/12/2018
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