Individual
JOHN MARK BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6010 W AMARILLO BLVD, AMARILLO, TX 79106-1990
(806) 355-7903
Mailing address
6010 W AMARILLO BLVD, AMARILLO, TX 79106-1990
(506) 355-7903
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14100305061
KS
367500000X
Certified Registered Nurse Anesthetist
557038
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
AP123261
TX
390200000X
Student in an Organized Health Care Education/Training Program
14100305061
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200740430A
—
KS
Enumeration date
06/17/2011
Last updated
03/20/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us