Bennett, Orvial Lee
Bennett, Orvial Lee is an individual health care provider with primary practice located at 4333 N Josey Ln Ste 104 , Carrollton TX 75010-4620. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bennett, Orvial Lee can be contacted via phone (972) 394-4500.Contact Information
Primary practice address
4333 N Josey Ln Ste 104
Carrollton TX 75010-4620
Phone: (972) 394-4500
Fax: (972) 394-8180
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA00212 | Texas |
Profile Details
NPI number | 1336223288 |
---|---|
LBN Legal business name | Bennett, Orvial Lee |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 25th, 2006 |
Last updated | Mar 5th, 2010 - about 15 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 | 1336223288 | NPPES |
Texas | MEDICAID | 184447404 | |
Texas | MEDICAID | 184447402 | |
Texas | MEDICAID | 184447403 |
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