Individual
BENJAMIN LOUIS PSENCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
1406 N TEXANA ST, HALLETTSVILLE, TX 77964-2021
(361) 798-1200
Mailing address
1406 N TEXANA ST, HALLETTSVILLE, TX 77964-2021
(361) 798-1200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
534447
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Y3613
BCBSTX
—
Enumeration date
07/07/2007
Last updated
04/17/2014
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