Bettison And Bettison Of Texas Inc. | |
4107 Medical Pkwy Suite 216 Austin TX 78756-3735 | |
(512) 692-9327 | |
(713) 244-0059 |
Full Name | Bettison And Bettison Of Texas Inc. |
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Speciality | Social Worker |
Location | 4107 Medical Pkwy, Austin, Texas |
Authorized Official Name and Position | John Calvin Bettison (DIRECTOR) |
Authorized Official Contact | 5126929327 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bettison And Bettison Of Texas Inc. 4107 Medical Pkwy Suite 216 Austin TX 78756-3735 Ph: (512) 692-9327 | Bettison And Bettison Of Texas Inc. 4107 Medical Pkwy Suite 216 Austin TX 78756-3735 Ph: (512) 692-9327 |
NPI Number | 1790709137 |
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Provider Enumeration Date | 07/27/2006 |
Last Update Date | 04/12/2011 |
Medicare PECOS PAC ID | 5395789325 |
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Medicare Enrollment ID | O20050610000531 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790709137 | NPI | - | NPPES |
174035901 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | John C Bettison |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053463133 PECOS PAC ID: 8022052059 Enrollment ID: I20050610000556 |
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