Individual
BRYAN KING BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
CARL R DARNALL ARMY MEDICAL CENTER, 36065 SANTA FE AVE., FORT HOOD, TX 76544
(315) 222-3564
Mailing address
48542 GAMMON CT UNIT 2, FORT HOOD, TX 76544-1804
(315) 222-3564
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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