Individual
WILLIAM BRENT BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
805 TRINITY DR, HOPE, AR 71801-3621
(870) 772-1020
Mailing address
919 HIDDEN RDG, IRVING, TX 75038-3813
(469) 282-2713
(469) 282-2609
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-8116
AR
207Q00000X
Family Medicine Physician
P8116
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201917001
—
AR
05
—
356111001
—
TX
01
—
P01525303
RAILROAD MEDICARE
AR
01
—
P02599428
RR MCR
TX
Enumeration date
06/19/2012
Last updated
06/09/2025
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