Individual
BRANDI BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT (R) (CT)
Contact information
Practice address
10605 CAMILLIA BLOSSOM LN, AUSTIN, TX 78748-3009
(512) 585-8495
Mailing address
10605 CAMILLIA BLOSSOM LN, AUSTIN, TX 78748-3009
(512) 585-8495
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
GMR00024111
TX
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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