Individual
BENJAMIN TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3702 21ST ST, LUBBOCK, TX 79410-1299
(806) 795-2751
Mailing address
5510 79TH ST, LUBBOCK, TX 79424-2606
(806) 778-7830
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
AP143973
TX
363LF0000X
Family Nurse Practitioner
Primary
AP143973
TX
Other
Enumeration date
05/02/2021
Last updated
02/01/2024
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