DR. TAMAR BENNETSEN DO NPI 1699367540

NPI Information

  • NPI: 1699367540
  • Provider Name: DR. TAMAR BENNETSEN, DO
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • Address: 3010 STARDUST LN
    NORTHLAKE, TX
    ZIP 76226
  • Phone: (915) 497-2179

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NPI Details

DR. Tamar Bennetsen, DO is a general practice in Northlake, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Tamar Bennetsen, DO NPI is 1699367540. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3010 STARDUST LN
NORTHLAKE, TX
ZIP 76226-763
Phone: (915) 497-2179

The enumeration date for this NPI number is 2/10/2021 and was last updated on 2/10/2021.

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
1208D00000XGeneral Practice4205ARIZONAYes

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: 11/21/2025

NPI Synchronization or Removal

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