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
Phone: (512) 263-7133
Fax: (512) 263-0451
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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