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Individual

JIM PATRICK BENGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
15655 CYPRESSWOODS MEDICAL DR, SUITE 100, HOUSTON, TX 77014-1471
(713) 442-1700
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
K9727
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046494301
TX
05
046494302
TX
05
046494304
TX
Enumeration date
07/05/2006
Last updated
06/04/2021
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