Individual
DR. BETTINA BRIDGFORD WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3840 HULEN ST, SUITE 125, FORT WORTH, TX 76107-7277
(817) 569-4523
(817) 569-4462
Mailing address
3840 HULEN ST, SUITE 125, FORT WORTH, TX 76107-7277
(817) 569-4523
(817) 569-4462
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
N1949
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283890601
—
TX
01
—
8CT321
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/22/2008
Last updated
11/15/2011
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