Organization
CENTRAL TEXAS ORTHOPAEDIC CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY J BEAL MD (OWNER)
(254) 526-0188
Entity
Organization
Contact information
Practice address
2117 S CLEAR CREEK RD, KILLEEN, TX 76549-4110
(254) 526-0188
(254) 526-0181
Mailing address
PO BOX 938, KILLEEN, TX 76540-0938
(254) 634-6999
(254) 200-4099
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048BR
BLUE CROSS BLUE SHIELD
TX
05
—
080681201
—
TX
01
—
826203342
MEDICARE RAILROAD
TX
Enumeration date
06/19/2006
Last updated
12/20/2013
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