Individual
ALVIS BEN TRENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 HICKORY ST # 16236, ABILENE, TX 79601-2345
(325) 670-1702
Mailing address
1150 N 18TH ST, STE 205, ABILENE, TX 79601-2931
(254) 433-9455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13307
TX
Other
Enumeration date
06/17/2019
Last updated
04/21/2020
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