Individual
DR. BENJAMIN D SUPNET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7121 SPID, SUITE 302, CORPUS CHRISTI, TX 78412-4941
(362) 851-5000
(361) 851-8053
Mailing address
7121 SPID, SUITE 302, CORPUS CHRISTI, TX 78412-4941
(361) 851-5000
(361) 851-8053
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L3152
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146593201
—
TX
05
—
146593202
—
TX
Enumeration date
06/22/2005
Last updated
04/18/2023
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