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Adrienne L. Prentiss, Md Pa
Primary Care Clinic/Center in Colleyville, Texas
NPI 1205465200

Adrienne L. Prentiss, Md Pa is a Primary Care Clinic/Center based in Keller, TX and is specialized in Primary Care. Adrienne L. Prentiss, Md Pa practices in Colleyville, TX. The NPI Number for Adrienne L. Prentiss, Md Pa is 1205465200 and holds a License No. (Texas).

The current practice location address for Adrienne L. Prentiss, Md Pa is 1704 Tennison Pkwy Ste 100, Colleyville, TX and can be reached out via phone at 817-251-1225.

Location: 1704 Tennison Pkwy Ste 100, Colleyville, TX, 76248-5464
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205465200
Provider Name
Adrienne L. Prentiss, Md Pa
Credential
Provider Entity Type
Organization
Address
1704 Tennison Pkwy Ste 100, Colleyville, TX, 76248-5464
Phone Number
817-251-1225
Fax Number
Provider Enumeration Date
04/02/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
H03548 01 TX UPIN
0060HP 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
1704 Tennison Pkwy Ste 100
City
Colleyville
State
Texas
Zip
76034-6297
Phone Number
817-251-1225
Fax Number
person
Provider Business Mailing Address Details
Address
1704 Tennison Pkwy Ste 100
City
Colleyville
State
Texas
Zip
76034-6297
Phone Number
817-251-1225
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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