Individual
DR. EDWARD GARRISON BENTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 HILLCREST MEDICAL BLVD STE 2, WACO, TX 76712-8897
(254) 741-1400
(254) 741-1428
Mailing address
PO BOX 848491, DALLAS, TX 75284-8491
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
P7392
TX
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
P7392
TX
Other
Enumeration date
02/04/2009
Last updated
08/19/2020
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