Brent Bennett MD PA

NPI #1790753192 in Lakeway, Texas

Provider Information

NPI Number: 1790753192
Entity Type: Organization
Organization Name: Brent Bennett MD PA
Primary Specialty: Internal Medicine
Enumeration Date: Mar 10, 2006
Last Updated: Apr 8, 2014

Practice Location

Address: 2300 LOHMANS SPUR
Address 2: #106
City: Lakeway
State: Texas
ZIP Code: 78734-6206
Phone: (512) 263-7133

Authorized Official

Name: DR. BRENT L. BENNETT, M.D.
Title: OWNER/PRESIDENT
Phone: (512) 263-7133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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