Provider Demographics
NPI:1699270769
Name:ARTHUR-BENTIL, SAMIA KATE (MD)
Entity type:Individual
Prefix:DR
First Name:SAMIA KATE
Middle Name:
Last Name:ARTHUR-BENTIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4206 HAWTHORNE AVE APT 204
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-2330
Mailing Address - Country:US
Mailing Address - Phone:469-236-7209
Mailing Address - Fax:
Practice Address - Street 1:13747 MONTFORT DR STE 320
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-4454
Practice Address - Country:US
Practice Address - Phone:469-327-8188
Practice Address - Fax:469-874-6771
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-29
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS61172084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXS6117OtherTEXAS MEDICAL BOARD