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NPI Code Detail

MEDICARE: DR ENRIQUE H. BECERRA P.A.

MEDICARE: DR ENRIQUE H. BECERRA P.A.
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
1207VX0000XObstetrics PhysicianK6987TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598880106
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR ENRIQUE H. BECERRA P.A.
Provider Business Mailing Address
First Line : 4151 LOOP 20
Second Line : SUITE 203
City : LAREDO
State : TX
Zip : 78043-4725
Country : US
Telephone Number : 956-794-8784
Fax Number :
Provider Business Practice Location Address
First Line : 4151 LOOP 20
Second Line : SUITE 203
City : LAREDO
State : TX
Zip : 78043-4725
Country : US
Telephone Number : 956-794-8784
Fax Number :
Authorized Official
Title or Position : PHYSICIAN
Name : DR. ENRIQUE HERNANDEZ BECERRA
Credential : M.D.
Telephone Number : 95679487984
Provider Enumeration Date : 03/20/2007
Last Update Date : 07/31/2008

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Directions to “DR ENRIQUE H. BECERRA P.A. ” Practice Location

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