Mcclean, Bethany

Mcclean, Bethany is an individual health care provider with primary practice located at 1501 Mitchell Blvd , Fort Worth TX 76105-2263. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mcclean, Bethany can be contacted via phone (817) 920-6600.

Contact Information

Primary practice address
1501 Mitchell Blvd Fort Worth TX 76105-2263
Phone: (817) 920-6600
Fax: (817) 920-6632
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 252859 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP104951 Texas

Profile Details

NPI number 1639148190
LBN Legal business name Mcclean, Bethany
Credentials RN, CFNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Feb 10th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639148190 NPPES
Texas MEDICAID 091872404

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