Provider Demographics
NPI:1275500126
Name:MIKEAL D. BECK
Entity Type:Organization
Organization Name:MIKEAL D. BECK
Other - Org Name:NEXT STEP PROSTHETICS & ORTHOTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIKEAL
Authorized Official - Middle Name:D
Authorized Official - Last Name:BECK
Authorized Official - Suffix:
Authorized Official - Credentials:CP, LPO
Authorized Official - Phone:817-594-1000
Mailing Address - Street 1:PO BOX 1235
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-1235
Mailing Address - Country:US
Mailing Address - Phone:817-594-1000
Mailing Address - Fax:817-594-8011
Practice Address - Street 1:228 SANTA FE DR
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-6559
Practice Address - Country:US
Practice Address - Phone:817-594-1000
Practice Address - Fax:817-594-8011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-28
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10027576OtherAMERIGROUP
TX7841338OtherAETNA
TX145839001Medicaid
TX531002OtherBLUE CROSS BLUE SHIELD
TX=========OtherHEALTH SMART
TX=========OtherPHCS
TX=========OtherTEXAS TRUE CHOICE
TX145839001Medicaid
TX531002OtherBLUE CROSS BLUE SHIELD
TX=========OtherCOOK'S CHILDRENS HEALTH
TX7841338OtherAETNA
TX=========OtherSUPERIOR HEALTH PLAN
TX=========OtherTRICARE FOR LIFE
TX=========OtherUNICARE
TX=========OtherTRICARE FOR LIFE