Bethany G Runkel
Pediatrician Pediatric Cardiologist
1500 Cooper St
Fort Worth
, Texas 76104-2710
Bethany G Runkel
Pediatrician Pediatric Cardiologist
1500 Cooper St
Fort Worth
, Texas 76104-2710
(682) 885-6483
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About
Features
Specialties
- Pediatrician
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Bethany G Runkel
- Po Box 733784
- Dallas, TX
- Zip : 75373-3784
- Phone : (682) 885-6483
Second Address
- Bethany G Runkel
- 1500 Cooper St
- Fort Worth, TX
- Zip : 76104-2710
- Phone : (682) 885-2140
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 2014019471 | MO |
| Y | 2080P0202X | Pediatric Cardiologist | S8111 | TX |
National Provider Identifier
| NPI | 1073933883 |
|---|---|
| Provider Name | Bethany G Runkel |
| First Address | Dallas, TX 75373-3784 |
| Second Address | Fort Worth, TX 76104-2710 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/04/2014 |
| Last Update Date | 06/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.