Provider Demographics
NPI:1760784664
Name:BENDER, BRIANA ROSE (DC)
Entity Type:Individual
Prefix:DR
First Name:BRIANA
Middle Name:ROSE
Last Name:BENDER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8910 SW 34TH AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79124-2065
Mailing Address - Country:US
Mailing Address - Phone:806-356-1340
Mailing Address - Fax:
Practice Address - Street 1:8910 SW 34TH AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79124-2065
Practice Address - Country:US
Practice Address - Phone:806-356-1340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-27
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11608111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor