Individual
BETSY B DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2020 W STATE HIGHWAY 114, SUITE 300, GRAPEVINE, TX 76051-8649
(817) 424-1525
(817) 424-3491
Mailing address
PO BOX 35629, DALLAS, TX 75235-0629
(214) 424-2213
(214) 231-2159
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02781
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8N8810
BCBS TX
TX
Enumeration date
11/08/2005
Last updated
01/28/2010
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