Doctor Name: | MRS. LINDA CAROL BECKETT |
NPI Number: | 1073712410 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | AP110127 |
Business Practice Address: | 1801 S Carrier Pkwy Grand Prairie, TX - 750513702 |
Business Phone Number: | 9722625272 |
Business Fax Number: | 9722621921 |
Mailing Address: | 1801 S Carrier Pkwy, GRAND PRAIRIE |
State: | TX |
Postal Code: | 750513702 |
Phone Number: | 9722625272 |
Fax Number: | 9722621921 |
NPI Enumeration Date: | 07/16/2007 |
NPI Last Update Date: | 12/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP110127 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |