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Individual

LE H BETTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
810 INDUSTRIAL AVE, COPPERAS COVE, TX 76522-1722
(254) 524-0114
Mailing address
2303 WINDMILL DR, KILLEEN, TX 76549-8591
(831) 435-9322

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
213170
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
42342172
DRIVERS LICENSE
TX
Enumeration date
08/28/2018
Last updated
08/28/2018
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