MEDICARE: HANNAH BECKER RN

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	163WH0200X	Home Health Registered Nurse	913058	TX

General Provider Information

NPI Number	:	1437637204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH BECKER RN

Provider Business Mailing Address
First Line	:	4727 CAMP CREEK RD
Second Line	:
City	:	BAYTOWN
State	:	TX
Zip	:	77523-4517
Country	:	US
Telephone Number	:	601-757-7438
Fax Number	:

Provider Business Practice Location Address
First Line	:	4727 CAMP CREEK RD
Second Line	:
City	:	BAYTOWN
State	:	TX
Zip	:	77523-4517
Country	:	US
Telephone Number	:	601-757-2602
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2018
Last Update Date	:	08/02/2018

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