Bennett, Orvial Lee

Bennett, Orvial Lee is an individual health care provider with primary practice located at 4333 N Josey Ln Ste 104 , Carrollton TX 75010-4620. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bennett, Orvial Lee can be contacted via phone (972) 394-4500.

Contact Information

Primary practice address
4333 N Josey Ln Ste 104 Carrollton TX 75010-4620
Phone: (972) 394-4500
Fax: (972) 394-8180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00212 Texas

Profile Details

NPI number 1336223288
LBN Legal business name Bennett, Orvial Lee
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Mar 5th, 2010 - about 16 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 1336223288 NPPES
Texas MEDICAID 184447404
Texas MEDICAID 184447402
Texas MEDICAID 184447403

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