Individual
DR. THEODORE T BENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1317 GLENWOOD DR, CLEBURNE, TX 76033
(817) 641-3750
(817) 641-3754
Mailing address
1317 GLENWOOD DR, CLEBURNE, TX 76033
(817) 641-3750
(817) 641-3754
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
H7889
TX
207YP0228X
Pediatric Otolaryngology Physician
H7889
TX
207YS0012X
Sleep Medicine (Otolaryngology) Physician
H7889
TX
207YS0123X
Facial Plastic Surgery Physician
Primary
H7889
TX
207YX0602X
Otolaryngic Allergy Physician
H7889
TX
231H00000X
Audiologist
H7889
TX
237600000X
Audiologist-Hearing Aid Fitter
H7889
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044777301
—
TX
05
—
044777302
—
TX
05
—
081301601
—
TX
Enumeration date
05/15/2006
Last updated
04/14/2022
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