Individual
JEANA LYNN BENWILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7030 NEW SANGER AVE STE 202, WACO, TX 76712
(254) 772-4400
Mailing address
PO BOX 731912, DALLAS, TX 75373-1912
(903) 877-7777
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
P2957
TX
Other
Enumeration date
05/06/2008
Last updated
07/26/2018
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