Healthcare Provider Details

I. General information

NPI: 1235313321
Provider Name (Legal Business Name): JOSEPH RICHARD BECKER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2007
Last Update Date: 09/22/2023
Certification Date: 09/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8435 WURZBACH RD STE 211
SAN ANTONIO TX
78229-3729
US

IV. Provider business mailing address

8435 WURZBACH RD STE 211
SAN ANTONIO TX
78229-3729
US

V. Phone/Fax

Practice location:
  • Phone: 210-450-9800
  • Fax: 210-450-2145
Mailing address:
  • Phone: 210-450-9800
  • Fax: 210-450-2145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberN4939
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberA103269
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberN4939
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: