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Individual

DR. BENNY R CLEVELAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
523 CORDILLERA TRCE, BOERNE, TX 78006-4203
(830) 336-4588
(830) 229-5171
Mailing address
523 CORDILLERA TRCE, BOERNE, TX 78006-4203
(830) 336-4588
(830) 229-5171

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D2667
TX

Other

Enumeration date
06/24/2008
Last updated
06/24/2008
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