Randall Bentley Do PA
NPI #1043512288 in Fort Worth, Texas
Provider Information
- NPI Number
- 1043512288
- Entity Type
- Organization
- Organization Name
- Randall Bentley Do PA
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Nov 19, 2010
- Last Updated
- Aug 25, 2011
Practice Location
- Address
- 6201 OVERTON RIDGE BLVD
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76132-3613
- Phone
- (817) 558-6695
Authorized Official
- Name
- EVERT R BENTLEY, DO
- Title
- PRESIDENT
- Phone
- (817) 558-6695
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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