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BENT TREE FAMILY PHYSICIAN PA NPI 1124180120


NPI Information

NPI: 1124180120
Provider Name: BENT TREE FAMILY PHYSICIAN, PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
17110 DALLAS PKWY
SUITE 100
DALLAS, TX
ZIP 75248
Phone: (972) 380-7000
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BENT TREE FAMILY PHYSICIAN, PA is a family medicine in Dallas, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BENT TREE FAMILY PHYSICIAN, PA NPI is 1124180120. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17110 DALLAS PKWY
SUITE 100
DALLAS, TX
ZIP 75248-167
Phone: (972) 380-7000
Fax: (972) 380-9266

The provider's authorized official is Guy Lee Culpepper .
The authorized official title is President and has the following contact phone number (972) 380-7000.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 7/13/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10018AZMEDICARE ID-TYPE UNSPECIFIEDTEXASGROUP NUMBER

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: 4/28/2024

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