Bender, Brent Alan

Bender, Brent Alan is an individual health care provider with primary practice located at 630 N Bishop Ave , Dallas TX 75208-4335. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Bender, Brent Alan can be contacted via phone (214) 946-3668.

Contact Information

Primary practice address
630 N Bishop Ave Dallas TX 75208-4335
Phone: (214) 946-3668
Fax: (214) 943-5130
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1423 Texas

Profile Details

NPI number 1912934654
LBN Legal business name Bender, Brent Alan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Aug 15th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912934654 NPPES
Texas MEDICAID 0927469 -02

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