Individual provider · Type 1 NPI
Tamar Bennetsen, DO
General Practice Physician · Northlake, TX
NPI number
1699367540
Active
Practice location
3010 Stardust Ln
Northlake, TX 76226-1763
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 4205 (AZ) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1699367540
Tamar Bennetsen, DO's National Provider Identifier is 1699367540, issued on Feb 10, 2021. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Northlake, TX. The record was last updated on Feb 10, 2021.