Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TAMAR BENNETSEN, DO
Active Sole ProprietorDR. TAMAR BENNETSEN, DO is a General Practice healthcare provider located in NORTHLAKE, Texas. NPI 1699367540 is currently active in the NPPES registry. Verify at CMS.
General Practice · NORTHLAKE, TX
Registration Details
- NPI Number
- 1699367540
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 10, 2021 (5.5183249616214 yrs)
- Last Updated
- Feb 10, 2021
- License
-
4205 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3010 STARDUST LNNORTHLAKE, TX, 762261763Browse TX providers · Browse ZIP 76226
- Phone
- 9154972179
- Primary Specialty
-
General Practice
208D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.