Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | P2193 | TX |
Y | 2080P0205X | Pediatric Endocrinologist | P2193 | TX |
NPI | 1124205513 |
---|---|
Provider Name | Nancy Louise Beck |
First Address | Lubbock, TX 79408-5865 |
Second Address | Lubbock, TX 79410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2008 |
Last Update Date | 06/12/2021 |