Individual
LINDA P BENDURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-6800
(817) 885-2106
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7347
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
228108
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002119804
—
TX
01
—
002119805
CSHCN
TX
01
—
10019197
AMERIGROUP PIN
TX
01
—
2239698
UHC PIN
TX
Enumeration date
12/12/2006
Last updated
04/02/2012
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