Bent Tree Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BENT TREE SURGERY CENTER

Practice address

17110 Dallas Pkwy
100
Dallas, TX 75248-1167

Phone

(972) 380-7090

NPI assigned

Jun 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charles Wallace, MD

Title

President

Phone

(972) 380-7090

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740223429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17110 DALLAS PKWY",
            "address_2": "100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17110 DALLAS PKWY",
            "address_2": "100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481167",
            "telephone_number": "972-380-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENT TREE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-380-7090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard S. Benson, PA-C
• Stephanie Benson, RRT
• Tanya Benson, M.S., CCC-SLP
• Bent Tree Counseling, PLLC
• Bent Tree Family Physician, PA
• Kelly Bentel, PH.D., LPC
• Bentley Chiropractic, PLLC
• James Arthur Bentley Jr., MD
• Kelci Bentley, PA-C
• Sarah Elisa Bentley, D.C.

• Ambulatory Surgical Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.