Individual
BETHANY BOATNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 N CALAIS DR, SHERMAN, TX 75090-3103
(903) 957-9000
(903) 957-0585
Mailing address
3401 N CALAIS DR, SHERMAN, TX 75090-3103
(903) 957-9000
(903) 957-0585
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08764
TX
Other
Enumeration date
08/07/2014
Last updated
10/30/2019
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