Individual
GAIL ELIZABETH AZNAVORIAN-BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1901 MEDI PARK DR, SUITE 2050, AMARILLO, TX 79106-2110
(806) 355-3352
(806) 355-5367
Mailing address
PO BOX 740608, DALLAS, TX 75374-0608
(469) 317-9900
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
J8443
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122307503
—
TX
Enumeration date
06/06/2006
Last updated
02/03/2021
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