Individual
MRS. BETHANY ANN SPENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
720 LAWRENCE ST, TOMBALL, TX 77375-0047
(281) 351-2244
Mailing address
14107 BLOOMINGDALE MANOR DR, CYPRESS, TX 77429-8180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA03605
TX
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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