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Bethany Fonseca
NPI 1316446503 · on the registry since 2018
Practice
- Address
- 2300 21st St N
Texas City, TX 77590 - Phone
- (409) 916-0300
Additional practice sites
- 7710 W Interstate 10, San Antonio, TX
- 10435 Greenbough Dr Ste 410, Stafford, TX
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 2355S0801X
106S00000X - Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-01-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas