| Grant P. Beckham, M.d. | |
|
9101 N. Central Expressway Suite 350 Dallas TX 75231 | |
| (214) 361-7000 | |
| (214) 361-7675 |
| Full Name | Grant P. Beckham, M.d. |
|---|---|
| Speciality | Internal Medicine |
| Location | 9101 N. Central Expressway, Dallas, Texas |
| Authorized Official Name and Position | Grant P Beckham (PRESIDENT) |
| Authorized Official Contact | 2143617000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant P. Beckham, M.d. 9101 N. Central Expressway Suite 350 Dallas TX 75231 Ph: (214) 361-7000 | Grant P. Beckham, M.d. 9101 N. Central Expressway Suite 350 Dallas TX 75231 Ph: (214) 361-7000 |
| NPI Number | 1972707917 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 12/04/2008 |
| Medicare PECOS PAC ID | 3173619541 |
|---|---|
| Medicare Enrollment ID | O20071016000271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972707917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | J1870 (Texas) | Primary |
| Provider Name | Grant P Beckham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942374681 PECOS PAC ID: 8729058003 Enrollment ID: I20071016000284 |
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