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NPI Code Detail

MEDICARE: BREANNA BETTIS

MEDICARE:   BREANNA  BETTIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1347C00000XPrivate Vehicle
2171M00000XCase Manager/Care Coordinator
3347E00000XTransportation Broker
4172V00000XCommunity Health Worker
5253Z00000XIn Home Supportive Care Agency
63747A0650XAttendant Care Provider
7376J00000XHomemaker
83747P1801XPersonal Care Attendant
9251B00000XCase Management Agency
10374K00000XReligious Nonmedical Practitioner

General Provider Information

NPI Number : 1902760267
Entity Type Code : Individual
Provider Name (Legal Business Name) : BREANNA BETTIS
Provider Business Mailing Address
First Line : 426 ARDSLEY LN
Second Line :
City : FORNEY
State : TX
Zip : 75126-4187
Country : US
Telephone Number : 469-769-9926
Fax Number :
Provider Business Practice Location Address
First Line : 329 OAKS TRL STE 148
Second Line :
City : GARLAND
State : TX
Zip : 75043-4092
Country : US
Telephone Number : 214-484-1861
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2025
Last Update Date : 12/11/2025

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Directions to “ BREANNA BETTIS ” Practice Location

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