MEDICARE: DR. RICHARD L BECKER DO

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	207Q00000X	Family Medicine Physician	G7992	TX

General Provider Information

NPI Number	:	1669124707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD L BECKER DO

Provider Business Mailing Address
First Line	:	3918 RUGER DR
Second Line	:
City	:	ROYSE CITY
State	:	TX
Zip	:	75189-5717
Country	:	US
Telephone Number	:	469-723-6735
Fax Number	:

Provider Business Practice Location Address
First Line	:	3918 RUGER DR
Second Line	:
City	:	ROYSE CITY
State	:	TX
Zip	:	75189-5717
Country	:	US
Telephone Number	:	469-723-6735
Fax Number	:

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

Provider Enumeration Date	:	01/20/2022
Last Update Date	:	01/20/2022

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