Individual
DR. BETH L SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTOMETRIST
Contact information
Practice address
6201 SOUTH FWY, FORT WORTH, TX 76134-2001
(817) 568-6143
(817) 551-4630
Mailing address
9803 HICKORY HOLLOW LN, IRVING, TX 75063-5044
(214) 578-4171
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000770
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1646973
BLUE SHIELD
PA
01
—
2248
AETNA HMO
PA
01
—
2323907000
KEYSTONE EAST
PA
Enumeration date
08/15/2006
Last updated
07/24/2009
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