Individual
MR. GARRETT BENJAMIN ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, FNP-C
Contact information
Practice address
4347 PHELAN BLVD STE 101, BEAUMONT, TX 77707-2159
(409) 767-9285
Mailing address
2548 MEMORIAL BLVD, PORT ARTHUR, TX 77640-2825
(409) 983-1161
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
805136
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
805136
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
805136
TEXAS BOARD OF NURSING
TX
Enumeration date
10/10/2012
Last updated
09/07/2023
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