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Individual
DR. TROY CULLEN BECKER
Active
Individual
DR. TROY CULLEN BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4775TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E35T
BSBS #2
TX
01
—
5195206
AETNA
TX
01
—
81025Q
BCBS
TX
Enumeration date
04/10/2007
Last updated
12/11/2013
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