Individual
ROBERT D. BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6330 LBJ FWY, SUITE 150, DALLAS, TX 75240-6431
(972) 386-7979
(972) 494-3062
Mailing address
6330 LBJ FWY, SUITE 150, DALLAS, TX 75240-6431
(972) 386-7979
(972) 494-3062
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
F6433
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155235801
—
TX
Enumeration date
09/21/2005
Last updated
01/26/2009
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