Becerra, Israel
Becerra, Israel is an individual health care provider with primary practice located at 2900 S Telephone Rd Ste 250 , Moore OK 73160-2969. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Becerra, Israel can be contacted via phone (405) 237-7500.Contact Information
Primary practice address
2900 S Telephone Rd Ste 250
Moore OK 73160-2969
Phone: (405) 237-7500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 24073 | Oklahoma |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 24073 | Oklahoma |
Profile Details
NPI number | 1013940071 |
---|---|
LBN Legal business name | Becerra, Israel |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 9th, 2006 |
Last updated | Jul 18th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013940071 | NPPES |
Oklahoma | MEDICAID | 200076370A |
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