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Organization

MIKEAL D. BECK

Active
Other names
Next Step Prosthetics & Orthotics
Organization subpart
No

Provider details

NPI number
Authorized official
MIKEAL D BECK CP, LPO (PRESIDENT)
(817) 594-1000
Entity
Organization

Contact information

Practice address
228 SANTA FE DR, WEATHERFORD, TX 76086-6559
(817) 594-1000
(817) 594-8011
Mailing address
PO BOX 1235, WEATHERFORD, TX 76086-1235
(817) 594-1000
(817) 594-8011

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
77
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10027576
AMERIGROUP
TX
05
145839001
TX
01
531002
BLUE CROSS BLUE SHIELD
TX
01
7841338
AETNA
TX
Enumeration date
02/28/2006
Last updated
05/27/2014
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