| NPI | 1790955938 |
|---|---|
| Doing Business As | ROGER J BEAL DPM |
| Entity Type | Organization |
| Authorized Contact | ROGER J BEAL Owner 210-614-3623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |