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Dr. Tamar Bennetsen, DO
General Practice Physician in Northlake, Texas
NPI 1699367540

Tamar Bennetsen is a General Practice Physician based in Northlake, TX. Tamar Bennetsen practices in Northlake, TX and has the professional credentials of DO. The NPI Number for Tamar Bennetsen is 1699367540 and holds a License No. 4205 (Texas).

The current practice location address for Tamar Bennetsen is 3010 Stardust Ln, Northlake, TX and can be reached out via phone at 915-497-2179.

Location: 3010 Stardust Ln, Northlake, TX, 76226-1763
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699367540
Provider Name
Tamar Bennetsen
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
3010 Stardust Ln, Northlake, TX, 76226-1763
Phone Number
915-497-2179
Fax Number
Provider Enumeration Date
02/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3010 Stardust Ln
City
Northlake
State
Texas
Zip
76226-1763
Phone Number
915-497-2179
Fax Number
person
Provider Business Mailing Address Details
Address
3010 Stardust Ln
City
Northlake
State
Texas
Zip
76226-1763
Phone Number
915-497-2179
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
4205 (Arizona)
Definition
Definition to come...
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