Organization
BETTISON AND BETTISON OF TEXAS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CALVIN BETTISON SR. LCSW,SAP (DIRECTOR)
(512) 692-9327
Entity
Organization
Contact information
Practice address
4107 MEDICAL PKWY, SUITE 216, AUSTIN, TX 78756-3735
(512) 692-9327
(713) 244-0059
Mailing address
4107 MEDICAL PKWY, SUITE 216, AUSTIN, TX 78756-3735
(512) 692-9327
(713) 244-0059
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174035901
—
TX
Enumeration date
07/27/2006
Last updated
04/12/2011
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