Individual
MR. MICHAEL WAYNE BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2401 S 31AT ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
683221
TX
367500000X
Certified Registered Nurse Anesthetist
R56078
NM
Other
Enumeration date
08/31/2006
Last updated
04/28/2015
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