Individual
TINA RENAE BECKENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
781 AN COUNTY ROAD 476, TENNESSEE COLONY, TX 75861-3558
(903) 731-3220
Mailing address
781 AN COUNTY ROAD 476, TENNESSEE COLONY, TX 75861-3558
(903) 731-3220
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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