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Individual

BENJAMIN CLAY CALDWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C-FNP

Contact information

Practice address
2418 W MAIN ST, GUN BARREL CITY, TX 75156-3638
(903) 173-2000
(903) 713-2004
Mailing address
2418 W MAIN STREET, GUN BARREL CITY, TX 75156
(903) 173-2000
(903) 713-2004

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
636969
TX
364SF0001X
Family Health Clinical Nurse Specialist
Primary
636969
TX

Other

Enumeration date
10/24/2006
Last updated
11/04/2014
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