Individual
DR. BOBBY G. BENNETT JR.
Active
Individual
DR. BOBBY G. BENNETT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H6045
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
H6045
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508808411
BCBSTX
TX
01
—
8V0493
BCBSTX
TX
Enumeration date
06/12/2006
Last updated
08/29/2012
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