Individual
MS. CHANTHALA VISETSIN BENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6041 ASHBURY ST APT 8303, NORTH RICHLAND HILLS, TX 76180-2052
(682) 521-0728
Mailing address
6041 ASHBURY ST APT 8303, NORTH RICHLAND HILLS, TX 76180-2052
(682) 521-0728
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
2513094
MN
163WC0400X
Case Management Registered Nurse
Primary
877483
TX
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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