Individual
DR. MARK OLIVER BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14 CLUB RIDGE CT, THE WOODLANDS, TX 77382-2109
(813) 362-4922
Mailing address
14 CLUB RIDGE CT, THE WOODLANDS, TX 77382-2109
(813) 362-4922
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
09467R
LA
207P00000X
Emergency Medicine Physician
43639
TN
207P00000X
Emergency Medicine Physician
ME97332
FL
207P00000X
Emergency Medicine Physician
Primary
N4290
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316159700
—
VA
05
—
1506634
—
TN
05
—
3001611
—
TN
Enumeration date
05/05/2007
Last updated
10/02/2012
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