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Contact Information

IVAN BECERRA, MD
387 I-10
FORT STOCKTON, TX79735
 Phone: 512-775-6114
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for IVAN BECERRA · (Male)

NPI # 1558896274
Status Active
Credentials MD
Entity Individual
Enumeration date 05/01/2017
Last updated 11/30/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # T3038
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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