Individual
DR. BRUCE CARL BECKER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W 4TH ST, ODESSA, TX 79761-5001
(432) 640-1059
Mailing address
19 SAPPHIRE ST, ODESSA, TX 79762-8416
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L5245
TX
Other
Enumeration date
06/09/2005
Last updated
07/10/2007
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