Provider Demographics
NPI:1962786954
Name:STEVEN BECKER MD PLLC
Entity type:Organization
Organization Name:STEVEN BECKER MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-932-1924
Mailing Address - Street 1:10405 TOWN AND COUNTRY WAY
Mailing Address - Street 2:STE 402
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1128
Mailing Address - Country:US
Mailing Address - Phone:713-932-1924
Mailing Address - Fax:713-932-9377
Practice Address - Street 1:10405 TOWN AND COUNTRY WAY
Practice Address - Street 2:STE 402
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1128
Practice Address - Country:US
Practice Address - Phone:713-932-1924
Practice Address - Fax:713-932-9377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-07
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE9107261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD47916Medicare UPIN