Individual
ARLENE BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5939 HARRY HINES BLVD PROFESSIONAL BUILDING 2, DALLAS, TX 75390-3600
(214) 645-8620
(214) 645-8621
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
(469) 291-3372
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K0264
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107498103
—
TX
Enumeration date
07/10/2006
Last updated
05/29/2019
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