Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD.207525 | LA |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | BP20044624 | TX |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 125064282 | IL |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD.207525 | LA |
NPI | 1174886733 |
---|---|
Provider Name | Alex Betech |
First Address | Baton Rouge, LA 70810-1507 |
Second Address | Baton Rouge, LA 70810-1507 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2012 |
Last Update Date | 11/02/2019 |