Individual provider · NPI-1

Breck Beckner

Specialist/Technologist, Other · Addison, TX

NPI number1275291379
StatusActive
Last updated in NPPESDec 6, 2021

Details

NPI
1275291379
Entity type
Individual (NPI-1)
Name
Breck Beckner
Sex
Male
Sole proprietor
No
Enumeration date
Dec 6, 2021
Certification date
Dec 6, 2021
Last updated
Dec 6, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246Z00000X Specialist/Technologist, Other––Yes

Practice location

16633 Dallas Pkwy Ste 125
Addison, TX 75001-6816

Phone 972-380-0000 · Fax 972-380-0030

Mailing address

Po Box 703231
Dallas, TX 75370-3231

Phone 682-717-5802

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Other Specialist/Technologist, Other providers in Addison, TX