Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLEN ALAN BEEDE, DPM
Active Sole ProprietorDR. GLEN ALAN BEEDE, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in BENBROOK, Texas. NPI 1407854920 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · BENBROOK, TX
Registration Details
- NPI Number
- 1407854920
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2005 (21.076723154437 yrs)
- Last Updated
- Dec 22, 2009
- License
-
1317 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5521 BELLAIRE DR SBENBROOK, TX, 761095855Browse TX providers · Browse ZIP 76109
- Phone
- 8177639383
- Fax
- 8177639385
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.