Individual
DR. BETHANY LUSSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75284-3628
(214) 648-3111
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
Q7915
TX
207RP1001X
Pulmonary Disease Physician
Q7915
TX
2084A2900X
Neurocritical Care Physician
Q7915
TX
Other
Enumeration date
07/10/2009
Last updated
02/16/2018
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