Individual
DR. ANDREW C. BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8335 AGORA PKWY, SUITE 100, SELMA, TX 78154-1382
(210) 658-8483
(210) 658-0828
Mailing address
1324 COMMON ST, SUITE 307, NEW BRAUNFELS, TX 78130-3565
(830) 625-7310
(830) 625-3228
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1131118
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170506301
—
TX
01
—
8T2966
BC/BS
TX
Enumeration date
08/25/2006
Last updated
10/13/2016
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