| Jay G. Beckwith, D.o., P.a. | |
|
1051 Haskell St 208 Fort Worth TX 76107-2649 | |
| (817) 737-3166 | |
| (817) 737-4881 |
| Full Name | Jay G. Beckwith, D.o., P.a. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1051 Haskell St, Fort Worth, Texas |
| Authorized Official Name and Position | Jay G Beckwith (OWNER) |
| Authorized Official Contact | 8177373166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay G. Beckwith, D.o., P.a. 1051 Haskell St 208 Fort Worth TX 76107-2649 Ph: (817) 737-3166 | Jay G. Beckwith, D.o., P.a. 1051 Haskell St 208 Fort Worth TX 76107-2649 Ph: (817) 737-3166 |
| NPI Number | 1760653620 |
|---|---|
| Provider Enumeration Date | 03/19/2008 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760653620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | D4711 (Texas) | Primary |
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