NPI | 1790753192 |
---|---|
Other Name | BRENT BENNETT MD |
Entity Type | Organization |
Authorized Contact | BRENT L. BENNETT Owner/President 512-263-7133 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX G3150) |
Enumeration Date | 2006-03-10 |
Last Update Date | 2014-04-08 |