Basic Information
| Provider Information | |||||||||
| NPI: | 1700175718 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BECK | ||||||||
| FirstName: | MAUREEN | ||||||||
| MiddleName: | S | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DNP, APRN, GNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1133 JOHN FREEMAN BLVD STE JJLS80B | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770302809 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7135006283 | ||||||||
| FaxNumber: | 7135000706 | ||||||||
| Practice Location | |||||||||
| Address1: | 6500 WEST LOOP S STE 200C | ||||||||
| Address2: | |||||||||
| City: | BELLAIRE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774013536 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7134865150 | ||||||||
| FaxNumber: | 7136662998 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/30/2011 | ||||||||
| LastUpdateDate: | 11/01/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/26/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LG0600X | 503272 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Gerontology |
No ID Information.