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Individual

BETHANY DEATON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
120 HILLCREST MEDICAL BLVD, WACO, TX 76712-8948
(254) 399-6000
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 202-9349

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14313
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1172604
NCCPA
01
PA14313
TEXAS PHYSICIAN ASSISTANT BOARD
TX
Enumeration date
04/16/2021
Last updated
05/22/2025
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