Individual
CALEB ALLEN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 SAINT MICHAEL DR, TEXARKANA, TX 75503-2372
(469) 955-9423
Mailing address
2600 SAINT MICHAEL DR, TEXARKANA, TX 75503-2372
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1025609
TX
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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