Provider Demographics
NPI:1396968178
Name:BECKER, TROY CULLEN (OD)
Entity type:Individual
Prefix:DR
First Name:TROY
Middle Name:CULLEN
Last Name:BECKER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16303 CRETIAN POINT CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-6824
Mailing Address - Country:US
Mailing Address - Phone:281-225-9334
Mailing Address - Fax:281-225-9335
Practice Address - Street 1:8403 LOUETTA RD # 100
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-6737
Practice Address - Country:US
Practice Address - Phone:832-717-7140
Practice Address - Fax:832-717-7142
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4775TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00E35TOtherBSBS #2
TX5195206OtherAETNA
TX81025QOtherBCBS
TX5195206OtherAETNA
TX8B2737Medicare ID - Type Unspecified