Individual
DR. BENARJI TEGALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1211 E 6TH ST, SUITE 100, BONHAM, TX 75418-4095
(903) 640-4700
(903) 640-1975
Mailing address
1211 E 6TH ST, SUITE 100, BONHAM, TX 75418-4095
(903) 640-4700
(903) 640-1975
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13587R
LA
207R00000X
Internal Medicine Physician
Primary
P9264
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1434469
—
LA
Enumeration date
05/03/2006
Last updated
11/19/2020
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