Individual
BETHANY GARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC, CES
Contact information
Practice address
221 OHANLON DR, VAN ALSTYNE, TX 75495-2959
(214) 592-5925
Mailing address
221 OHANLON DR, VAN ALSTYNE, TX 75495-2959
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
—
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZGP847363746
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/23/2018
Last updated
04/23/2026
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