Becerril, Mary L.

Becerril, Mary L. is an individual health care provider with primary practice located at 5201 Harry Hines Blvd Medical Staff Services, Dallas TX 75235-7708. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Becerril, Mary L. can be contacted via phone (214) 590-8006.

Contact Information

Primary practice address
5201 Harry Hines Blvd Medical Staff Services Dallas TX 75235-7708
Phone: (214) 590-8006
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 219429 Texas

Profile Details

NPI number 1700949567
LBN Legal business name Becerril, Mary L.
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Nov 25th, 2008 - about 18 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 1700949567 NPPES
Texas MEDICAID 041558002
Texas MEDICAID 041558003

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