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NPI Code Detail

MEDICARE: ALAN ELLIOTT BENTZ MD

MEDICARE:   ALAN ELLIOTT BENTZ  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207PE0004XEmergency Medical Services (Emergency Medicine) PhysicianK4369TX

General Provider Information

NPI Number : 1649207986
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN ELLIOTT BENTZ MD
Provider Business Mailing Address
First Line : PO BOX 202287
Second Line :
City : DALLAS
State : TX
Zip : 75320-2287
Country : US
Telephone Number : 800-261-0048
Fax Number :
Provider Business Practice Location Address
First Line : 710 FM 1960 RD W
Second Line : EMERGENCY DPT
City : HOUSTON
State : TX
Zip : 77090-3402
Country : US
Telephone Number : 281-440-2146
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2006
Last Update Date : 03/30/2009

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Directions to “ ALAN ELLIOTT BENTZ MD” Practice Location

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