Individual
DR. KARL COBLENZ BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1519 E 6TH ST, WESLACO, TX 78596-6605
(956) 968-3171
(956) 968-5783
Mailing address
1519 E 6TH ST, WESLACO, TX 78596-6605
(956) 968-3171
(956) 968-5783
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
N3491
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288357101
—
TX
01
—
P01004892
RAILROAD MEDICARE
TX
Enumeration date
09/13/2007
Last updated
04/06/2017
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