Provider Demographics
NPI:1063113868
Name:BUHL, BETTINA (PHLEBOTOMIST)
Entity type:Individual
Prefix:
First Name:BETTINA
Middle Name:
Last Name:BUHL
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615 W ABRAM ST STE 200A
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-1788
Mailing Address - Country:US
Mailing Address - Phone:817-217-9744
Mailing Address - Fax:682-318-1407
Practice Address - Street 1:1615 W ABRAM ST STE 200A
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-1788
Practice Address - Country:US
Practice Address - Phone:817-217-9744
Practice Address - Fax:682-318-1407
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5544632453618280761246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy