Individual
BECKY X LOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-2587
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
267033
MA
207RP1001X
Pulmonary Disease Physician
Primary
T1444
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110117852A
—
MA
05
—
428442401
—
TX
Enumeration date
04/01/2013
Last updated
01/10/2023
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