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Individual

LARRY BETTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
12836 PARKERSBURG DR, FORT WORTH, TX 76244-5816
(214) 458-1817
Mailing address
12836 PARKERSBURG DR, FORT WORTH, TX 76244-5816

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
06/12/2015
Last updated
06/12/2015
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