Organization
BENJAMIN W. COVINGTON, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN COVINGTON IV M.D. (PRESIDENT)
(806) 236-0123
Entity
Organization
Contact information
Practice address
5805 WINTER PARK DR, NORTH RICHLAND HILLS, TX 76180-5345
(806) 236-0123
Mailing address
PO BOX 1868, COLLEYVILLE, TX 76034-1868
(806) 236-0123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L5709
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0067LT
BLUE CROSS BLUE SHIELD
TX
05
—
170802601
—
TX
01
—
DC3006
RAILROAD MEDICARE
TX
Enumeration date
11/19/2007
Last updated
04/09/2012
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