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Contact Information

BETHANY WIMBERLY
3095 KINGSWOOD BLVD STE 250
GRAND PRAIRIE, TX75052
 Phone: 972-817-1950
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for BETHANY WIMBERLY · (Female)

NPI Number 1407237316
Status Active
Credentials
Entity Individual
Enumeration date 06/16/2015
Last updated 05/24/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • TX License # R6940
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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