Bender, Brent Alan
Bender, Brent Alan is an individual health care provider with primary practice located at 630 N Bishop Ave , Dallas TX 75208-4335. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Bender, Brent Alan can be contacted via phone (214) 946-3668.Contact Information
Primary practice address
630 N Bishop Ave
Dallas TX 75208-4335
Phone: (214) 946-3668
Fax: (214) 943-5130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 1423 | Texas |
Profile Details
| NPI number | 1912934654 |
|---|---|
| LBN Legal business name | Bender, Brent Alan |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Aug 15th, 2019 - about 7 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 | 1912934654 | NPPES |
| Texas | MEDICAID | 0927469 -02 |
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