Individual
DR. JERRY J BETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4801 TROUP HWY, STE 201, TYLER, TX 75703-2356
(903) 526-7055
(903) 593-4303
Mailing address
4801 TROUP HWY, STE 201, TYLER, TX 75703-2356
(903) 526-7055
(903) 593-4303
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
E6235
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115025205
—
TX
05
—
143629701
—
TX
Enumeration date
01/20/2006
Last updated
10/16/2013
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