Becker, Mark Oliver
Becker, Mark Oliver is an sole proprietor health care provider with primary practice located at 14 Club Ridge Ct , The Woodlands TX 77382-2109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Becker, Mark Oliver can be contacted via phone (813) 362-4922.Contact Information
Primary practice address
14 Club Ridge Ct
The Woodlands TX 77382-2109
Phone: (813) 362-4922
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ME97332 | Florida |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 43639 | Tennessee |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | N4290 | Texas |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 09467R | Louisiana |
Profile Details
| NPI number | 1316159700 |
|---|---|
| LBN Legal business name | Becker, Mark Oliver |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2007 |
| Last updated | Oct 2nd, 2012 - about 12 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 | 1316159700 | NPPES |
| Tennessee | MEDICAID | 3001611 | |
| Tennessee | MEDICAID | 1316159700 | |
| Tennessee | MEDICAID | 1506634 |
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