Organization
GLEN A BEEDE DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN ALAN BEEDE DPM (OWNER)
(817) 763-9383
Entity
Organization
Contact information
Practice address
5521 BELLAIRE DR S STE 116, FORT WORTH, TX 76109-5855
(817) 763-9383
(817) 763-9385
Mailing address
5521 BELLAIRE DR S STE 116, FORT WORTH, TX 76109-5855
(817) 763-9383
(817) 763-9385
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
1317
TX
Other
Enumeration date
01/22/2008
Last updated
12/22/2009
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