Beadle, Eric Joseph

Beadle, Eric Joseph is an individual health care provider with primary practice located at 4560 Lake Ridge Parkway Suite 200, Grand Prairie TX 75052. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Beadle, Eric Joseph can be contacted via phone (972) 263-5272.

Contact Information

Primary practice address
4560 Lake Ridge Parkway Suite 200 Grand Prairie TX 75052
Phone: (972) 263-5272
Fax: (972) 263-3488
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M2900 Texas

Profile Details

NPI number 1164484218
LBN Legal business name Beadle, Eric Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Jun 12th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164484218 NPPES
Texas MEDICAID 182842801
Texas Other 8A7727

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