Individual
THOMAS R BENAFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 N 30TH ST, CLINTON, OK 73601-3117
(580) 323-2363
(580) 331-1484
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-1221
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
103426
OK
367500000X
Certified Registered Nurse Anesthetist
2677162
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
AP120163
TX
Other
Enumeration date
01/23/2009
Last updated
03/24/2020
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