| NPI | 1205465200 |
|---|---|
| Doing Business As | PRENTISS FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ADRIENNE PRENTISS Owner/Physician 817-939-8089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-02 |