Individual
DOMINIQUE BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1138 HOLLAND DR, GARLAND, TX 75040-9014
(214) 235-1986
Mailing address
1138 HOLLAND DR, GARLAND, TX 75040-9014
(214) 235-1986
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15989
—
TX
05
—
3331281101
—
TX
Enumeration date
05/28/2019
Last updated
07/06/2019
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