Individual
BECKY WIGHTMAN ALTHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PH.D., CGC
Contact information
Practice address
750 8TH AVE STE 200, FORT WORTH, TX 76104-2500
(682) 885-2170
(817) 335-8277
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
270.1006
TX
363LF0000X
Family Nurse Practitioner
230870
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP121066
TX
Other
Enumeration date
01/11/2006
Last updated
05/10/2021
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