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Individual

DR. BETZI SARAH MATHEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
345 CYPRESS CREEK RD, SUITE 104, CEDAR PARK, TX 78613-4483
(512) 336-2777
(512) 336-2778
Mailing address
PO BOX 52001, DEPT 923, PHOENIX, AZ 85072-2001
(512) 336-2777
(512) 336-2778

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L5042
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8S5305
BCBS PIN
TX
Enumeration date
06/30/2005
Last updated
01/03/2012
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