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NPI Code Detail

MEDICARE: GLEN A BEEDE DPM PA

MEDICARE: GLEN A BEEDE DPM PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP1100XPodiatric Clinic/Center1317TX

General Provider Information

NPI Number : 1407033400
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLEN A BEEDE DPM PA
Provider Business Mailing Address
First Line : 6116 OAKBEND TRL STE 106
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-3926
Country : US
Telephone Number : 817-377-3668
Fax Number : 817-763-9385
Provider Business Practice Location Address
First Line : 6116 OAKBEND TRL STE 106
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-3926
Country : US
Telephone Number : 817-377-3668
Fax Number : 817-763-9385
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : GLEN A BEEDE
Credential :
Telephone Number : 817-763-9383
Provider Enumeration Date : 01/22/2008
Last Update Date : 05/22/2026

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Directions to “GLEN A BEEDE DPM PA ” Practice Location

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