Provider Demographics
NPI:1033277835
Name:SCHENCK, BETSY (DO)
Entity Type:Individual
Prefix:
First Name:BETSY
Middle Name:
Last Name:SCHENCK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 TIMBERGREEN CIR
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-8530
Mailing Address - Country:US
Mailing Address - Phone:940-387-9929
Mailing Address - Fax:
Practice Address - Street 1:1800 W CHESTNUT
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76203
Practice Address - Country:US
Practice Address - Phone:940-565-2333
Practice Address - Fax:940-565-3190
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF1973207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine