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Organization

ADRIENNE L. PRENTISS, MD PA

Active
Other names
PRENTISS FAMILY MEDICINE
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ADRIENNE L PRENTISS MD (OWNER/PHYSICIAN)
(817) 251-1225
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
04/15/2020
Last updated
04/15/2020
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