Individual
THOMAS EARL BEALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
3520 E SHIELDS AVE, SUITE 102, FRESNO, CA 93726-6923
(559) 221-1933
(559) 221-0260
Mailing address
3520 E SHIELDS AVE, SUITE 102, FRESNO, CA 93726-6923
(559) 221-1933
(559) 221-0260
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XC0006390
—
CA
Enumeration date
08/29/2006
Last updated
09/11/2025
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