Organization
BEASLEY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE BARKOCI (BILLING MANAGER)
(817) 625-9292
Entity
Organization
Contact information
Practice address
3256 LACKLAND RD, FORT WORTH, TX 76116-5307
(817) 625-9292
Mailing address
3256 LACKLAND RD, FORT WORTH, TX 76116-5307
(817) 625-9292
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H7882
TX
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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