Cordova, Polly Bennett

Cordova, Polly Bennett is an individual health care provider with primary practice located at 5201 Harry Hines Blvd , Dallas TX 75235-7708. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Cordova, Polly Bennett can be contacted via phone (214) 590-1396.

Contact Information

Primary practice address
5201 Harry Hines Blvd Dallas TX 75235-7708
Phone: (214) 590-1396
Fax: (214) 590-1401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 616284 Texas

Profile Details

NPI number 1922004449
LBN Legal business name Cordova, Polly Bennett
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Jan 8th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922004449 NPPES
Texas MEDICAID 037046202

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