Individual
DR. IRMA ELENA BETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2600 E BERRY ST, FORT WORTH, TX 76105-4750
(817) 347-4600
(817) 347-4639
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
P3288
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP20034701
TX
Other
Enumeration date
06/05/2009
Last updated
04/15/2021
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