Provider Demographics
NPI:1235313321
Name:BECKER, JOSEPH RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:RICHARD
Last Name:BECKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8435 WURZBACH RD STE 211
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3729
Mailing Address - Country:US
Mailing Address - Phone:210-450-9800
Mailing Address - Fax:210-450-2145
Practice Address - Street 1:8435 WURZBACH RD STE 211
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3729
Practice Address - Country:US
Practice Address - Phone:210-450-9800
Practice Address - Fax:210-450-2145
Is Sole Proprietor?:No
Enumeration Date:2007-12-26
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN4939207R00000X, 207RE0101X
CAA103269207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB104380Medicare PIN