Individual
BETTINA WORTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5184 TEX OAK AVE, DALLAS, TX 75235-7822
(469) 419-1830
Mailing address
5184 TEX OAK AVE, DALLAS, TX 75235-7822
(469) 419-1830
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
36391
TX
1835P2201X
Ambulatory Care Pharmacist
Primary
36391
TX
Other
Enumeration date
09/01/2022
Last updated
09/02/2022
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