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Adrienne L. Prentiss, MD PA

Family Medicine in Colleyville, TX. Organization (NPI-2).

NPI number1164041521
StatusActive
Last updated in NPPESApr 15, 2020

Details

NPI
1164041521
Entity type
Organization (NPI-2)
Legal business name
Adrienne L. Prentiss, MD PA
Organization subpart
No
Enumeration date
Apr 15, 2020
Certification date
Apr 15, 2020
Last updated
Apr 15, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Other names

  • Prentiss Family Medicine (Doing Business As)

Practice location

1704 Tennison Pkwy Ste 100
Colleyville, TX 76034-6297

Phone 817-251-1225

Mailing address

1704 Tennison Pkwy Ste 100
Colleyville, TX 76034-6297

Phone 817-251-1225

Authorized official

Adrienne L Prentiss
Owner/Physician
8172511225

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