person
Mrs. Amber D Bethea, PA-C
Surgical Physician Assistant in Texarkana, Texas
NPI 1578526901

Amber D Bethea is a Surgical Physician Assistant based in Texarkana, TX and is specialized in Surgical. Amber D Bethea practices in Texarkana, TX and has the professional credentials of PA-C. The NPI Number for Amber D Bethea is 1578526901 and holds a License No. C02148 (Texas).

The current practice location address for Amber D Bethea is 2604 Saint Michael Dr Ste 425, Texarkana, TX and can be reached out via phone at 903-614-5600 and via fax at 903-614-5630.

Location: 2604 Saint Michael Dr Ste 425, Texarkana, TX, 75503-5211
person
Provider Profile Details
NPI Number
1578526901
Provider Name
Amber D Bethea
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2604 Saint Michael Dr Ste 425, Texarkana, TX, 75503-5211
Phone Number
903-614-5600
Fax Number
903-614-5630
Provider Enumeration Date
04/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00187315 01 MD R/R MEDICARE PROVIDER #
CA8374 01 MD R/R MEDICARE GROUP #
institution
Provider Business Practice Location Address Details
Address
2604 Saint Michael Dr Ste 425
City
State
Zip
75503-2378
Phone Number
903-614-5600
Fax Number
903-614-5630
person
Provider Business Mailing Address Details
Address
2604 Saint Michael Dr Ste 425
City
State
Zip
75503-2378
Phone Number
903-614-5600
Fax Number
903-614-5630
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
C02148 (Maryland)
Definition
Definition to come...
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