Individual
BEN J TITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10743 PRESTON RD, DALLAS, TX 75230
(214) 905-5075
(214) 905-0903
Mailing address
10743 PRESTON RD, DALLAS, TX 75230
(214) 905-5075
(214) 905-0903
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MDF 2735
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4295465
AETNA
—
Enumeration date
10/30/2006
Last updated
03/01/2017
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