Individual
BENJY LEE MELANCON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
A.T.C., L.A.T.
Contact information
Practice address
1201 S LINDSAY ST, GAINESVILLE, TX 76240-5661
(940) 736-6834
(940) 665-9265
Mailing address
618 S DENTON ST, GAINESVILLE, TX 76240-5326
(940) 668-8746
(940) 668-8746
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1908
TX
Other
Enumeration date
06/18/2006
Last updated
07/08/2007
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