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Organization

ERIC SIDARIS BENNOS MD PA

Active
Other names
ESBMDPA
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIC SIDARIS BENNOS, MD MD (PRESIDENT/CEO)
(817) 243-2432
Entity
Organization

Contact information

Practice address
6000 BAY PARK CT, FLOWER MOUND, TX 75022-5576
(972) 358-0426
(972) 539-6485
Mailing address
PO BOX 271387, FLOWER MOUND, TX 75027-1387
(972) 358-0426
(972) 539-6485

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
04/17/2025
Last updated
04/17/2025
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