MATEO JOSE BETANCOURT D.O. NPI 1801329362

NPI Information

NPI: 1801329362
Provider Name: MATEO JOSE BETANCOURT, D.O.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX
ZIP 78234
Phone: (210) 916-3160
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Mateo Jose Betancourt, D.O. is a general practice in Jbsa Ft Sam Houston, TX. Mateo Jose Betancourt, D.O. NPI is 1801329362. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX
ZIP 78234-504
Phone: (210) 916-3160
Fax: (210) 916-6349

The enumeration date for this NPI number is 4/11/2017 and was last updated on 4/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	208D00000X	General Practice		0102205620	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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