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Contact Information

SANDRA G BETANCOURT, RDN/LD
825 LAKESIDE BLVD
BROWNSVILLE, TX78520-7616
 Phone: 956-546-4898
 Fax: 956-517-1015
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for SANDRA G BETANCOURT · (Female)

NPI Number 1851507487
Status Active
Credentials RDN/LD
Entity Individual
Enumeration date 05/14/2007
Last updated 05/23/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # DT05843
  • TX Medicaid 150179305
  • Other 331097 PTAN
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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