Healthcare Provider Details

I. General information

NPI: 1033277835
Provider Name (Legal Business Name): BETSY SCHENCK DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 07/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 W CHESTNUT
DENTON TX
76203
US

IV. Provider business mailing address

14 TIMBERGREEN CIR
DENTON TX
76205-8530
US

V. Phone/Fax

Practice location:
  • Phone: 940-565-2333
  • Fax: 940-565-3190
Mailing address:
  • Phone: 940-387-9929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberF1973
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: