Individual
BETTY ACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 E 29TH ST STE 300, BRYAN, TX 77802-2603
(979) 776-5602
(979) 776-5265
Mailing address
PO BOX 70368, SPRINGFIELD, OR 97475-0120
(541) 868-9719
(541) 246-2353
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD174681
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100328701
—
TX
01
—
TXB162513
MEDICARE ID
—
Enumeration date
08/21/2006
Last updated
11/10/2015
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