Provider Demographics
NPI:1861992463
Name:AKINS, BETTY ANN
Entity type:Individual
Prefix:
First Name:BETTY
Middle Name:ANN
Last Name:AKINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 DECATUR ST
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:TX
Mailing Address - Zip Code:76230-5502
Mailing Address - Country:US
Mailing Address - Phone:940-366-0958
Mailing Address - Fax:
Practice Address - Street 1:208 DECATUR ST
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:TX
Practice Address - Zip Code:76230-5502
Practice Address - Country:US
Practice Address - Phone:940-366-0958
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant