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Individual

STEPHEN JOHN BECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1367 DOMINION PLZ, TYLER, TX 75703-1013
(903) 534-6200
(903) 939-0755
Mailing address
901 WALNUT HILL DR, LONGVIEW, TX 75605-5054
(903) 757-8878
(903) 757-5985

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
F3749
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070001473
RAILROAD MEDICARE
TX
01
8FD396
BCBS PV#
TX
Enumeration date
01/05/2006
Last updated
07/30/2015
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