Lara Perdue, Betzy A
Lara Perdue, Betzy A is an individual health care provider with primary practice located at 3091 College Park Dr #125, The Woodlands TX 77384. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Lara Perdue, Betzy A can be contacted via phone (936) 271-3338.Contact Information
Primary practice address
3091 College Park Dr #125
The Woodlands TX 77384
Phone: (936) 271-3338
Fax: (936) 271-3320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 20272 | Texas |
Profile Details
| NPI number | 1942235239 |
|---|---|
| LBN Legal business name | Lara Perdue, Betzy A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | May 7th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942235239 | NPPES |
| Texas | MEDICAID | 147983402 |
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