Individual
MR. BENJAMIN JACOB BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
925 CITY CENTRAL AVE, CONROE, TX 77304-2981
(936) 202-5202
Mailing address
12190 COUNTY ROAD 4083, SCURRY, TX 75158-3506
(979) 587-2822
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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