Provider Demographics
NPI:1225233422
Name:BETTES, THOMAS NEAL (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:NEAL
Last Name:BETTES
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3204 MAGNOLIA CT
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-7172
Mailing Address - Country:US
Mailing Address - Phone:817-442-1430
Mailing Address - Fax:
Practice Address - Street 1:4255 AMON CARTER BLVD
Practice Address - Street 2:AMERICAN AIRLINES MEDICAL DEPT.
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76155-2603
Practice Address - Country:US
Practice Address - Phone:817-963-1295
Practice Address - Fax:817-963-6378
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG3154207Q00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Not Answered2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine