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Individual

BENJAMIN OHEIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AGCNS-BC

Contact information

Practice address
3000 N INTERSTATE 35 STE 700, AUSTIN, TX 78705-1852
(512) 807-3150
Mailing address
7016 RAZORS EDGE DR, AUSTIN, TX 78744-3332
(806) 570-7848

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
881724
TX
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
AP138289
TX

Other

Enumeration date
07/31/2018
Last updated
07/31/2018
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