Individual
DR. BENJAMIN DAVID HAVEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4310 JAMES CASEY ST, STE. 4A, AUSTIN, TX 78745-1251
(512) 448-4588
(512) 445-4511
Mailing address
PO BOX 10597, AUSTIN, TX 78766-1597
(512) 448-4588
(512) 445-4511
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
L8725
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1832628-02
—
TX
01
—
8DF275
BCBS INDIVIDUAL #
TX
Enumeration date
07/14/2006
Last updated
10/03/2012
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