Individual
JAMAAL LOUIS BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,PH.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 645-8920
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
T8176
TX
2085R0204X
Vascular & Interventional Radiology Physician
T8176
TX
208600000X
Surgery Physician
BP10052436
TX
Other
Enumeration date
05/12/2015
Last updated
09/26/2022
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