Individual
BENJAMIN HYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
627 TURTLE CREEK DR, TYLER, TX 75701
(817) 321-0404
Mailing address
816 W. CANNON ST, FORT WORTH, TX 76104-3146
(817) 321-0404
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
30906
AL
2085R0202X
Diagnostic Radiology Physician
Primary
M4185
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051116366
BCBS
AL
01
—
051116368
BCBS
AL
01
—
051116369
BCBS
AL
01
—
051116371
BCBS
AL
01
—
051116379
BCBS
AL
01
—
051116380
BCBS
AL
01
—
051116381
BCBS
AL
01
—
051116382
BCBS
AL
01
—
051116383
BCBS
AL
01
—
051116384
BCBS
AL
05
—
06072724
—
MS
05
—
129262
—
AL
05
—
129264
—
AL
05
—
129266
—
AL
05
—
129267
—
AL
05
—
129268
—
AL
05
—
129270
—
AL
05
—
129273
—
AL
05
—
129276
—
AL
05
—
129279
—
AL
05
—
129281
—
AL
01
—
8W0859
BC/BS OF TEXAS
TX
Enumeration date
05/15/2006
Last updated
08/16/2021
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