Irma Elena Betty M.D.

NPI 1114153038 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1114153038
Gender Female
Enumeration Date 06/05/2009
Last Updated 11/05/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
FORT WORTH TX, 76105-4164, US
Phone (817) 534-7110
Fax (817) 413-0521
Business Location
PO BOX 99371
FORT WORTH TX, 76199-0371, US
Phone (682) 885-1855
Fax (682) 885-7347
Taxonomy Code 390200000X
License State Texas
License Number BP20034701
Remove 1114153038 NPI Number

According to our database, Dr. Irma Elena Betty M.D. NPI is 1114153038, taxonomy code is 390200000X and license number is BP20034701, license state is located at Texas. Irma Elena Betty M.D. physically located at 2755 Miller Ave, Fort Worth TX, 76105-4164. NPI Number Irma Elena Betty M.D. has the Individual type.

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1114153038 NPI number is provided on an as is basis without warranty of any kind. 1114153038 is maintained by the National Plan & Provider Enumeration System. The contents of Irma Elena Betty M.D. are for informational purposes only.