Provider Demographics
NPI:1740351444
Name:BECK, MOHAMED Y (MD)
Entity type:Individual
Prefix:
First Name:MOHAMED
Middle Name:Y
Last Name:BECK
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 1:2950 CULLEN BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-3922
Mailing Address - Country:US
Mailing Address - Phone:713-973-7246
Mailing Address - Fax:832-553-1337
Practice Address - Street 1:2950 CULLEN BLVD STE 101
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-3922
Practice Address - Country:US
Practice Address - Phone:713-973-7246
Practice Address - Fax:832-553-1337
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF0872207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX110246902Medicaid
D47913Medicare UPIN
TX00HR11Medicare ID - Type Unspecified