Individual
COLLIN THOMAS BEZELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
590 MEDICAL CENTER DRIVE, FORT CAVAZOS, TX 76544-5060
(254) 288-0509
Mailing address
590 MEDICAL CENTER DRIVE, BENNETT HEALTH CLINIC, FORT CAVAZOS, TX 76544
(254) 288-0509
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363A00000X
Physician Assistant
Primary
PA17675
TX
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/20/2023
Last updated
01/29/2025
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