Provider Demographics
NPI:1497907240
Name:BECK, ROSA ELENA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROSA
Middle Name:ELENA
Last Name:BECK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ROSA
Other - Middle Name:ELENA
Other - Last Name:TINAJERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2131 N COLLINS ST STE 415
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-2811
Mailing Address - Country:US
Mailing Address - Phone:214-458-0862
Mailing Address - Fax:
Practice Address - Street 1:2131 N COLLINS ST STE 415
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-2811
Practice Address - Country:US
Practice Address - Phone:214-458-0862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-10
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX242911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice