Individual
FONTEYN BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6560 FANNIN ST, STE 1402, HOUSTON, TX 77030-2761
(713) 790-5227
(713) 790-5505
Mailing address
6560 FANNIN ST, STE 1402, HOUSTON, TX 77030-2761
(713) 790-5227
(713) 790-5505
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA01968
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8N8316
BCBS OF TEXAS
—
Enumeration date
07/26/2005
Last updated
07/08/2007
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