Provider Demographics
NPI:1265161681
Name:BETHEL ASSOCIATES LLC
Entity type:Organization
Organization Name:BETHEL ASSOCIATES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSHUA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:806-803-0765
Mailing Address - Street 1:500 QUAIL CREEK DR UNIT A
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79124-1637
Mailing Address - Country:US
Mailing Address - Phone:806-803-0765
Mailing Address - Fax:806-553-2703
Practice Address - Street 1:500 QUAIL CREEK DR UNIT A
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79124-1637
Practice Address - Country:US
Practice Address - Phone:806-803-0765
Practice Address - Fax:806-553-2703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-09
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty