Provider Demographics
NPI:1023341567
Name:BROWER, BETTIE ANN (OTR)
Entity type:Individual
Prefix:
First Name:BETTIE
Middle Name:ANN
Last Name:BROWER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4702 SPANISH OAK CT
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-3435
Mailing Address - Country:US
Mailing Address - Phone:325-518-9523
Mailing Address - Fax:888-868-6418
Practice Address - Street 1:4702 SPANISH OAK CT
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-3435
Practice Address - Country:US
Practice Address - Phone:325-518-9523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100253174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist