MEDICARE: NAUM I BECKER MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	G2641	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1053491241	OTHER	TX	BC/BS

General Provider Information

NPI Number	:	1053491241
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NAUM I BECKER MD PA

Provider Business Mailing Address
First Line	:	6201 MATLOCK ROAD
Second Line	:	STE 139
City	:	ARLINGTON
State	:	TX
Zip	:	76002-2763
Country	:	US
Telephone Number	:	817-548-7711
Fax Number	:	817-557-1452

Provider Business Practice Location Address
First Line	:	6201 MATLOCK ROAD
Second Line	:	STE 139
City	:	ARLINGTON
State	:	TX
Zip	:	76002-2763
Country	:	US
Telephone Number	:	817-548-7711
Fax Number	:	817-557-1452

Authorized Official
Title or Position	:	OWNER PHYSICIAN
Name	:	NAUM I BECKER
Credential	:	M.D., P.A.
Telephone Number	:	817-548-7711

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	02/21/2012

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