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Organization
KENYON R. BEHRENS, D.O. , P.A
Active
Organization
KENYON R. BEHRENS, D.O. , P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENYON R. BEHRENS D.O. (PHYSICIAN)
(915) 592-8223
Entity
Organization
Contact information
Practice address
7812 GATEWAY BLVD E, SUITE 230, EL PASO, TX 79915-1837
(915) 592-8223
(915) 592-8328
Mailing address
7812 GATEWAY BLVD E, SUITE 230, EL PASO, TX 79915-1803
(915) 592-8223
(915) 592-8328
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G7994
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0067RF
BLUE CROSS AND BLUE SHIELD OF TEXAS
TX
05
—
195580901
—
TX
01
—
DN3507
MEDICARE RAILROAD
TX
Enumeration date
04/18/2008
Last updated
12/30/2011
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