Provider Demographics
NPI:1629425962
Name:JAMES, BETTINA
Entity Type:Individual
Prefix:MS
First Name:BETTINA
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2602 TROUT ST
Mailing Address - Street 2:2602 TROUT ST
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77093-5445
Mailing Address - Country:US
Mailing Address - Phone:713-351-9771
Mailing Address - Fax:
Practice Address - Street 1:2602 TROUT ST
Practice Address - Street 2:2602 TROUT ST
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77093-5445
Practice Address - Country:US
Practice Address - Phone:713-351-9771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-17
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)