Provider Demographics
NPI:1053092643
Name:ALLEMAN, BETHANY AUTUMN (DC)
Entity type:Individual
Prefix:
First Name:BETHANY
Middle Name:AUTUMN
Last Name:ALLEMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 HILL TRAIL DR APT 804
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76039-5693
Mailing Address - Country:US
Mailing Address - Phone:832-262-5966
Mailing Address - Fax:
Practice Address - Street 1:4645 WYNDHAM LN STE 160B
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-0014
Practice Address - Country:US
Practice Address - Phone:832-262-5966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15635111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor