Provider Demographics
NPI:1215914924
Name:ENTY, DON ARTHUR (MD)
Entity type:Individual
Prefix:DR
First Name:DON
Middle Name:ARTHUR
Last Name:ENTY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1417 GABLES CT STE 201
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-7648
Mailing Address - Country:US
Mailing Address - Phone:469-326-5115
Mailing Address - Fax:469-326-5119
Practice Address - Street 1:5400 STATE HIGHWAY 121 STE 100
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-5929
Practice Address - Country:US
Practice Address - Phone:817-354-8697
Practice Address - Fax:817-545-2015
Is Sole Proprietor?:No
Enumeration Date:2005-12-23
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF9399207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX139644219Medicaid
TX139644201Medicaid
TX139644202Medicaid
TX139644220Medicaid
TX83774KOtherBCBS
TX139644202Medicaid
TX139644220Medicaid
TX88958KMedicare PIN
C15470Medicare UPIN