MEDICARE: STEVEN BECKER MD PLLC

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	261QP2300X	Primary Care Clinic/Center	E9107	TX

General Provider Information

NPI Number	:	1962786954
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN BECKER MD PLLC

Provider Business Mailing Address
First Line	:	10405 TOWN AND COUNTRY WAY
Second Line	:	STE 402
City	:	HOUSTON
State	:	TX
Zip	:	77024-1128
Country	:	US
Telephone Number	:	713-932-1924
Fax Number	:	713-932-9377

Provider Business Practice Location Address
First Line	:	10405 TOWN AND COUNTRY WAY
Second Line	:	STE 402
City	:	HOUSTON
State	:	TX
Zip	:	77024-1128
Country	:	US
Telephone Number	:	713-932-1924
Fax Number	:	713-932-9377

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. STEVEN BECKER
Credential	:	MD
Telephone Number	:	713-932-1924

Provider Enumeration Date	:	10/07/2011
Last Update Date	:	10/07/2011

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