| NPI | 1164041521 |
|---|---|
| Doing Business As | PRENTISS FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ADRIENNE L PRENTISS Owner/Physician 817-251-1225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |