Betancourt, Sandra Garza

Betancourt, Sandra Garza is an sole proprietor health care provider with primary practice located at 825 Lakeside Blvd , Brownsville TX 78520-7616. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Pediatric, which is considered as her primary health care specialty. Betancourt, Sandra Garza can be contacted via phone (956) 546-4898.

Contact Information

Primary practice address
825 Lakeside Blvd Brownsville TX 78520-7616
Phone: (956) 546-4898
Fax: (956) 517-1015
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X DT05843 Texas

Profile Details

NPI number 1851507487
LBN Legal business name Betancourt, Sandra Garza
Credentials RDN/LD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2007
Last updated May 23rd, 2022 - about 2 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 1851507487 NPPES
Texas MEDICAID 150179305
Texas Other 331097

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