Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ivan Becerra, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558896274

Ivan Becerra, MD is a Student in an Organized Health Care Education/Training Program in Fort Stockton, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

387 I-10
Fort Stockton, TX 79735
Phone: (512) 775-6114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence T3038 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558896274
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 1, 2017
Last updated in NPPESNovember 30, 2021
Certification dateNovember 17, 2021
Mailing addressPo Box 7948, Midland, TX 79708-7948