Individual
BENNY R MRNUSTIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5501 GORDON SMITH DR STE 500, ROWLETT, TX 75089-3209
(214) 703-8100
(214) 703-3269
Mailing address
5501 GORDON SMITH DR STE 500, ROWLETT, TX 75089-3209
(214) 703-8100
(214) 703-3269
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G8304
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127974706
—
TX
Enumeration date
05/03/2006
Last updated
10/07/2021
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