| Doctor Name: | MRS. RONYA MAE BENTZ |
| NPI Number: | 1013115393 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | R65107 |
| Business Practice Address: | 2401 Summerhill Rd Suite A Texarkana, TX - 755013570 |
| Business Phone Number: | 9037924779 |
| Business Fax Number: | 9037924693 |
| Mailing Address: | 2401 Summerhill Rd, Suite A TEXARKANA |
| State: | TX |
| Postal Code: | 755013570 |
| Phone Number: | 9037924779 |
| Fax Number: | 9037924693 |
| NPI Enumeration Date: | 07/06/2007 |
| NPI Last Update Date: | 09/20/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | R65107 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |