Individual
JOHNATHAN E BETTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-7500
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1194739
—
363A00000X
Physician Assistant
14188622
UT
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/19/2021
Last updated
04/07/2025
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