Mowery, Betsy M

Mowery, Betsy M is an individual health care provider with primary practice located at 4534 Triggs Trce , Tyler TX 75709-5430. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Mowery, Betsy M can be contacted via phone (903) 677-1000.

Contact Information

Primary practice address
4534 Triggs Trce Tyler TX 75709-5430
Phone: (903) 677-1000
Fax: (903) 677-5586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 630862 Texas

Profile Details

NPI number 1629053624
LBN Legal business name Mowery, Betsy M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Apr 30th, 2014 - about 12 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 1629053624 NPPES
Texas MEDICAID 151481201

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