Individual
DR. BENJAMIN CALEB DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1920 GALLERIA OAKS DR, TEXARKANA, TX 75503-4619
(903) 792-6114
(903) 792-4266
Mailing address
919 HIDDEN RDG, IRVING, TX 75038-3813
(469) 282-2711
(469) 282-0996
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
N9202
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200449090A
—
OK
05
—
2443666
—
LA
05
—
337957001
—
TX
Enumeration date
04/23/2007
Last updated
04/30/2021
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