Individual
MS. JEANETTE L BETTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3200 RED RIVER ST STE 201, AUSTIN, TX 78705-2655
(855) 841-8375
Mailing address
1601 RIO GRANDE ST, SUITE 340, AUSTIN, TX 78701-1137
(512) 324-8960
(512) 324-8962
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05822
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283667802
—
TX
Enumeration date
10/14/2008
Last updated
08/15/2023
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