Individual
MR. BRIAN EDWARD BENHAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
BROOKE ARMY MEDICAL CENTER MCHE-QD/CREDENTIALS, 3851 ROGER BROOKE DRIVE, FT. SAM HOUSTON, TX 78234-6200
(210) 221-6329
Mailing address
110 QUARRY PT, NEW BRAUNFELS, TX 78132-4418
(830) 629-0959
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
647023
TX
Other
Enumeration date
10/24/2005
Last updated
07/08/2007
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