Individual
BRIAN THOMAS BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22420 IH 35 STE 203, KYLE, TX 78640-2656
(737) 404-0347
(512) 406-6295
Mailing address
6210 E HWY 290, AUSTIN, TX 78723-1142
(512) 483-3959
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
U4153
TX
Other
Enumeration date
04/16/2020
Last updated
07/06/2023
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