Organization
HERITAGE NEUROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLAJIDE O BENSON MD (OWNER)
(713) 505-5358
Entity
Organization
Contact information
Practice address
2270 JOE BATTLE BLVD STE Q, EL PASO, TX 79938-2610
(915) 317-1500
(915) 201-5101
Mailing address
4849 N MESA ST STE 201, EL PASO, TX 79912-5919
(915) 351-6600
(915) 351-6600
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
Q9956
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3883670-01
—
TX
Enumeration date
05/31/2018
Last updated
03/28/2019
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