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Individual

MR. DAVID P BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AGACNP-BC

Contact information

Practice address
100 MEDICAL CENTER BLVD STE 200, CONROE, TX 77304-2821
(936) 441-9680
Mailing address
12702 IVYFOREST DR, CYPRESS, TX 77429-2014
(512) 755-6342

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
829530
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1107084
TX

Other

Enumeration date
04/20/2022
Last updated
01/12/2023
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