Individual
BETHANY WIMBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3095 KINGSWOOD BLVD STE 250, GRAND PRAIRIE, TX 75052
(972) 817-1950
Mailing address
3095 KINGSWOOD BLVD STE 250, GRAND PRAIRIE, TX 75052-4502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R6940
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2015
Last updated
05/24/2023
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