Provider Demographics
NPI:1871532861
Name:BECKER, JUDITH A (MD)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:A
Last Name:BECKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6621 FANNIN ST
Mailing Address - Street 2:WEST TOWER 19
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2303
Mailing Address - Country:US
Mailing Address - Phone:832-826-5600
Mailing Address - Fax:
Practice Address - Street 1:6621 FANNIN ST
Practice Address - Street 2:WEST TOWER 19-345C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2303
Practice Address - Country:US
Practice Address - Phone:832-826-5600
Practice Address - Fax:832-825-1906
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2013-05-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP44192080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX304690601Medicaid
TX304690601Medicaid