Individual
BENJAMIN GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(937) 469-4928
Mailing address
1412 MAY ST, FORT WORTH, TX 76104-7639
(817) 702-2450
(817) 702-7315
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11343
TX
Other
Enumeration date
05/11/2017
Last updated
03/17/2018
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