Bennett, Brent L.

Bennett, Brent L. is an individual health care provider with primary practice located at 2300 Lohmans Spur #106, Lakeway TX 78734-6206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bennett, Brent L. can be contacted via phone (512) 263-7133.

Contact Information

Primary practice address
2300 Lohmans Spur #106 Lakeway TX 78734-6206
Fax: (512) 263-0451
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G3150 Texas

Profile Details

NPI number 1871561035
LBN Legal business name Bennett, Brent L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Oct 3rd, 2008 - about 17 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 1871561035 NPPES
Texas Other 8K9640 BCBS OF TEXAS INDIVIDUAL #
Texas MEDICAID 128045506 BCBS OF TEXAS INDIVIDUAL #
Texas Other P00123870 BCBS OF TEXAS INDIVIDUAL #

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