Healthcare Provider Details

I. General information

NPI: 1275972150
Provider Name (Legal Business Name): BEFORE 55 PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2013
Last Update Date: 06/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 HEDGCOXE RD SUITE 150
PLANO TX
75024-2403
US

IV. Provider business mailing address

4800 HEDGCOXE RD SUITE 150
PLANO TX
75024-2403
US

V. Phone/Fax

Practice location:
  • Phone: 214-227-1000
  • Fax:
Mailing address:
  • Phone: 214-227-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number25789
License Number StateTX

VIII. Authorized Official

Name: DR. ROSA BECK
Title or Position: PRESIDENT
Credential: DDS
Phone: 214-458-0862