Bentford Drive Emergency Physicians, PLLC
Emergency Medicine in Kingwood, TX. Organization (NPI-2).
NPI number1326486028
StatusActive
Last updated in NPPESJul 5, 2013
Details
- NPI
- 1326486028
- Entity type
- Organization (NPI-2)
- Legal business name
- Bentford Drive Emergency Physicians, PLLC
- Organization subpart
- No
- Enumeration date
- Jun 5, 2013
- Last updated
- Jul 5, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | – | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
22999 Highway 59 NSte. 134
Kingwood, TX 77339-4412
Phone 281-348-8800 · Fax 727-536-2896
Mailing address
18167 Us Highway 19 NSte. 650
Clearwater, FL 33764-3528
Phone 800-507-8874 · Fax 727-536-2896
Authorized official
Gregory J Byrne
President, Tx-I Medical Srvcs, PA
8005078874
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