# BENKE EAR NOSE AND THROAT CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** THEODORE T BENKE MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881813475
- **Authorized official:** DR. THEODORE T BENKE M.D. (OWNER PRESIDENT)
- **Authorized official phone:** (817) 641-3750

## Contact information

- **Practice address:** 1317 GLENWOOD DR, CLEBURNE, TX 76033
- **Practice address phone:** (817) 641-3750
- **Mailing address:** 1317 GLENWOOD DR, CLEBURNE, TX 76033
- **Mailing address phone:** (817) 641-3750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | H7889 | TX | Yes |
| 237600000X | Audiologist-Hearing Aid Fitter | H7889 | TX | — |

## Other

- **Enumeration date:** 04/24/2007
- **Last updated:** 04/14/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 044777301 | — | TX |
| 05 | — | 044777302 | — | TX |
| 05 | — | 081301601 | — | TX |
