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Individual

BETHANY DALLENBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2420 WYCON DR STE 403, WACO, TX 76712-8988
(254) 420-0002
Mailing address
2420 WYCON DR STE 403, WACO, TX 76712-8988

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
03/16/2026
Last updated
03/16/2026
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