Provider Demographics
NPI:1912015918
Name:FEHR, BETTINA SUZANNE (MD)
Entity Type:Individual
Prefix:
First Name:BETTINA
Middle Name:SUZANNE
Last Name:FEHR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7142 CORNELIA LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-3225
Mailing Address - Country:US
Mailing Address - Phone:214-370-9737
Mailing Address - Fax:214-370-9737
Practice Address - Street 1:4500 S LANCASTER RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216-7167
Practice Address - Country:US
Practice Address - Phone:214-857-0912
Practice Address - Fax:214-857-0827
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK29002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry