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Individual
DR. SUSAN D. BENTON
Active
Individual
DR. SUSAN D. BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H7891
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128482002
—
TX
05
—
128482010
—
TX
01
—
8EH106
BCBS
TX
Enumeration date
12/19/2005
Last updated
11/03/2022
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