Organization
BEAUFORD BASPED JR DO PLLC
Active
Other names
Beauford Basped Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
BEAUFORD BASPED (DO OWNER)
(682) 841-7171
Entity
Organization
Contact information
Practice address
5701 WESTCREEK DR, FORT WORTH, TX 76133-3301
(682) 841-7171
Mailing address
7510 HUDSON CEMETERY RD, KENNEDALE, TX 76060-7804
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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