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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083610133 | NPPES |
| Texas | Other | 0060HP | BCBS |
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