Becerra, Israel

Becerra, Israel is an individual health care provider with primary practice located at 2900 S Telephone Rd Ste 250 , Moore OK 73160-2969. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Becerra, Israel can be contacted via phone (405) 237-7500.

Contact Information

Primary practice address
2900 S Telephone Rd Ste 250 Moore OK 73160-2969
Phone: (405) 237-7500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24073 Oklahoma
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 24073 Oklahoma

Profile Details

NPI number 1013940071
LBN Legal business name Becerra, Israel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Jul 18th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013940071 NPPES
Oklahoma MEDICAID 200076370A

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