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Individual

MR. BENJAMIN W. DUDYCHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3351 UNIVERSITY DR E STE 111, BRYAN, TX 77802-3470
(979) 764-7246
(979) 764-7242
Mailing address
3351 UNIVERSITY DR E STE 111, BRYAN, TX 77802-3470
(979) 764-7246
(979) 764-7242

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
N1310
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
N1310
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
N1310
TX

Other

Enumeration date
08/06/2007
Last updated
12/13/2018
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