Perry Kent Beckstrom in Dallas - Family Medicine
Perry Kent Beckstrom - NPI 1679597546
Perry Kent Beckstrom is a Family Medicine in Dallas, Texas. Perry Kent Beckstrom practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Perry Kent Beckstrom is 1679597546. The last update date is 2014-09-25.
Perry Kent Beckstrom's current location address is 6243 Retail Rd, Dallas, Texas. You can contact this provider via phone number 2143612224 and fax number 2143612212. The mailing address for Perry Kent Beckstrom is 6243 Retail Rd, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Perry Kent Beckstrom |
|---|---|
| Address | 6243 Retail Rd, Dallas, Texas |
| Phone Number | 2143612224 |
| Fax Number | 2143612212 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1679597546 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2014-09-25 |
Provider Mailing Address Detail
| Address | 6243 Retail Rd |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752317808 |
| Phone Number | 2143612224 |
| Fax Number | 2143612212 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | L9622 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 197741504 | TX | -- | |
| 8DX875 | TX | BLUE CROSS |
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What is the unique 10-digit identification code issued to Perry Kent Beckstrom by the Centers for Medicare & Medicaid Services?
The Perry Kent Beckstrom has been assigned the NPI (National Provider Identifier) 1679597546 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Perry Kent Beckstrom located?
The Perry Kent Beckstrom is located at 6243 Retail Rd, Dallas, TX 752317808.
What is Perry Kent Beckstrom's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Perry Kent Beckstrom is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Perry Kent Beckstrom receive the assignment of its 1679597546 from the Centers for Medicare & Medicaid Services?
The Perry Kent Beckstrom was issued its 1679597546 by the Centers for Medicare & Medicaid Services on 2006-07-26.
As of what date were the Perry Kent Beckstrom's details last updated?
The information pertaining to the Perry Kent Beckstrom, including its address, specialty, and other details, was most recently updated on 2014-09-25.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY