BENT TREE FAMILY PHYSICIAN, PA
NPI 1124180120
Family Medicine in Dallas, TX
- Organization
- Family Medicine
- Accepts Insurance
- CLIA Number: 45D0481754
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-22-2027
About BENT TREE FAMILY PHYSICIAN, PA
This page provides the complete NPI Profile along with additional information for Bent Tree Family Physician, Pa, a primary care provider established in Dallas, Texas operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1124180120 assigned on December 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Guy Lee Culpepper M.d. (President)
- NPI
- 1124180120 Verify this NPI
- Provider Name
- BENT TREE FAMILY PHYSICIAN, PA
- Entity Type
- Organization
- Location Address
- 17110 DALLAS PKWY SUITE 100 DALLAS, TX 75248
- Location Phone
- (972) 380-7000
- Location Fax
- (972) 380-9266
- Mailing Address
- 17110 DALLAS PKWY SUITE 100 DALLAS, TX 75248
- Mailing Phone
- (972) 380-7000
- Mailing Fax
- (972) 380-9266
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-15-2006
- Last Update Date
- 07-13-2007
- Code Navigator
A primary care provider (PCP) like Bent Tree Family Physician, Pa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Core 1640 Plus with Adult Vision - HMO
- Molina Gold Saver 750 - HMO
- Molina Gold Saver 750 Plus with Adult Dental and Vision - HMO
- Molina Gold Saver 750 Plus with Adult Vision - HMO
- Molina Gold Standard - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
- Molina Silver Saver with Four Free PCP Visits - HMO
- Molina Silver Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0018AZ | MEDICARE ID-TYPE UNSPECIFIED (04) | TX | GROUP NUMBER |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D0481754
- Facility Type
- Physician Office
- Certificate Effective Date
- December 23, 2025
- Certificate Expiration Date
- December 22, 2027
- Laboratory Director
- ALMA GARZA
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Bent Tree Family Physician, Pa on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 15 providers are registered at the same or a nearby location.
DALLAS, TX 75248
DALLAS, TX 75248
DALLAS, TX 75248
DALLAS, TX 75248
DALLAS, TX 75248
DALLAS, TX 75248
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124180120, enumerated as an "organization" on December 15, 2006.
The provider is located at 17110 DALLAS PKWY SUITE 100 DALLAS, TX 75248 and the phone number is (972) 380-7000.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
