Individual
DR. BENJAMIN F FOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, CERT. MDT
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-7812
Mailing address
503 AVENUE A APT 1245, SAN ANTONIO, TX 78215-1274
(330) 224-6818
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT31722
FL
261QP2000X
Physical Therapy Clinic/Center
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Other
Enumeration date
03/28/2019
Last updated
03/02/2020
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