Provider Demographics
NPI:1194373779
Name:BECKS, MAXIMILIAN N (DO)
Entity Type:Individual
Prefix:
First Name:MAXIMILIAN
Middle Name:N
Last Name:BECKS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WBAMC/GME/TY
Mailing Address - Street 2:5005 N. PIEDRAS STREET
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79920-5001
Mailing Address - Country:US
Mailing Address - Phone:915-742-2521
Mailing Address - Fax:915-742-6668
Practice Address - Street 1:WBAMC/GME/TY
Practice Address - Street 2:5005 N. PIEDRAS STREET
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79920-5001
Practice Address - Country:US
Practice Address - Phone:915-742-2521
Practice Address - Fax:915-742-6668
Is Sole Proprietor?:No
Enumeration Date:2019-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program