Individual
BECKY BEA PERSONETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4421 EDGAR PARK AVE, EL PASO, TX 79904-2807
(915) 757-2874
(915) 751-3240
Mailing address
4421 EDGAR PARK AVE, EL PASO, TX 79904-2807
(915) 757-2874
(915) 751-3240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J0785
TX
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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