Individual
MISS BETHANY DOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3529 DENTON HWY STE D, HALTOM CITY, TX 76117-3293
(817) 759-0707
Mailing address
4560 GRAINLAND CT, FORT WORTH, TX 76179-8158
(817) 733-1419
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1010059
TX
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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