Organization
SAN ANGELO EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES BENHAM M.D. (PRINCIPAL OFFICER)
(325) 657-5028
Entity
Organization
Contact information
Practice address
120 E HARRIS AVE, SAN ANGELO, TX 76903-5904
(325) 657-5028
Mailing address
2909 SHERWOOD WAY, SUITE 300, SAN ANGELO, TX 76901-3558
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
05/04/2006
Last updated
08/22/2020
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