Individual
BENJI PAUL BARKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 DRYDEN PL, PORT ARTHUR, TX 77642-8314
(832) 777-8403
Mailing address
101 DRYDEN PL, PORT ARTHUR, TX 77642-8314
(832) 777-8403
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
10660023
TX
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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