# ADRIENNE L. PRENTISS, MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PRENTISS FAMILY MEDICINE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164041521
- **Authorized official:** DR. ADRIENNE L PRENTISS MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (817) 251-1225

## Contact information

- **Practice address:** 1704 TENNISON PKWY STE 100, COLLEYVILLE, TX 76034-6297
- **Practice address phone:** (817) 251-1225
- **Mailing address:** 1704 TENNISON PKWY STE 100, COLLEYVILLE, TX 76034-6297
- **Mailing address phone:** (817) 251-1225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/15/2020
- **Last updated:** 04/15/2020