Provider Demographics
NPI:1083775027
Name:BECK, MICHAEL BRANDON (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:BRANDON
Last Name:BECK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2920 JUSTIN RD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-7045
Mailing Address - Country:US
Mailing Address - Phone:972-317-5214
Mailing Address - Fax:972-317-5281
Practice Address - Street 1:2920 JUSTIN RD
Practice Address - Street 2:SUITE 600
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-7045
Practice Address - Country:US
Practice Address - Phone:972-317-5214
Practice Address - Fax:972-317-5281
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9346111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU95818Medicare UPIN
TX609839Medicare ID - Type Unspecified