Individual
BRYANA SHEA BETCHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST/ CSFA
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 606-4840
Mailing address
602 W MAIN ST LOT 94, WHITEHOUSE, TX 75791-3466
(903) 343-3418
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
175638
TX
246ZC0007X
Surgical Assistant
Primary
175638
TX
Other
Enumeration date
08/20/2024
Last updated
08/30/2024
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