Prentiss, Adrienne L

Prentiss, Adrienne L is an individual health care provider with primary practice located at 1600 W College St Ste 510, Grapevine TX 76051-3589. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Prentiss, Adrienne L can be contacted via phone (817) 251-1225.

Contact Information

Primary practice address
1600 W College St Ste 510 Grapevine TX 76051-3589
Phone: (817) 251-1225
Fax: (817) 251-1228
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K8817 Texas

Profile Details

NPI number 1083610133
LBN Legal business name Prentiss, Adrienne L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jul 8th, 2007 - about 18 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 1083610133 NPPES
Texas Other 0060HP BCBS

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