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SONIA LILIANA BETANCOURT CUELLAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
P7882
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
207935201
TX
01
207935202
CSHCN MEDICAID
TX
01
8W0998
BCBS
TX
01
P00774895
RAILROAD MEDICARE
Enumeration date
08/25/2009
Last updated
08/14/2020
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