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Individual

BETHANY ANNE AGUSALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 645-8600
(214) 645-8601
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-8600
(214) 645-8601

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
Q0396
TX

Other

Enumeration date
06/23/2010
Last updated
07/21/2014
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