Individual
MR. BENJAMIN GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1000 COLLEGE AVENUE, FORT WORTH, TX 76104
(817) 336-8855
(817) 336-4228
Mailing address
1000 COLLEGE AVE, FORT WORTH, TX 76104-3033
(817) 336-8855
(817) 336-4228
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
L0234
TX
363A00000X
Physician Assistant
Primary
L0234
TX
Other
Enumeration date
02/11/2013
Last updated
08/15/2019
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