Provider Demographics
NPI:1487976270
Name:ALEX BEKKER, M.D., P.A.
Entity type:Organization
Organization Name:ALEX BEKKER, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:BEKKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-821-3133
Mailing Address - Street 1:6500 E MOCKINGBIRD LN
Mailing Address - Street 2:115
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-2497
Mailing Address - Country:US
Mailing Address - Phone:214-821-3133
Mailing Address - Fax:214-453-7409
Practice Address - Street 1:6500 E MOCKINGBIRD LN
Practice Address - Street 2:115
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75214-2497
Practice Address - Country:US
Practice Address - Phone:214-821-3133
Practice Address - Fax:214-453-7409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-19
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3986207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty