Individual
EMILY MARIE BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7979 WURZBACH RD FL 3, SAN ANTONIO, TX 78229
(210) 450-9840
(210) 450-6064
Mailing address
7703 FLOYD CURL DR # MC7977, SAN ANTONIO, TX 78229-3901
(210) 450-9000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A102771
CA
207N00000X
Dermatology Physician
Primary
P1048
TX
207NP0225X
Pediatric Dermatology Physician
P1048
TX
208000000X
Pediatrics Physician
242467
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
316565601
—
TX
01
—
316565602
MEDICAID CSHCN
TX
05
—
316565604
—
TX
01
—
316565605
CSHCN
TX
Enumeration date
01/22/2008
Last updated
07/16/2018
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