Individual
JEREMY BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6353 KINGS CROWN ST, LIVE OAK, TX 78233-4714
(210) 882-0943
Mailing address
6353 KINGS CROWN ST, LIVE OAK, TX 78233-4714
(210) 882-0943
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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