Individual
BRECK BECKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16633 DALLAS PKWY STE 125, ADDISON, TX 75001-6816
(972) 380-0000
(972) 380-0030
Mailing address
PO BOX 703231, DALLAS, TX 75370-3231
(682) 717-5802
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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