Organization
BENARJI TEGALA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENARJI TEGALA MD (OWNER/PRESIDENT)
(903) 640-4700
Entity
Organization
Contact information
Practice address
1211 E 6TH ST STE 100, BONHAM, TX 75418-4094
(903) 640-4700
(903) 640-1975
Mailing address
1211 E 6TH ST STE 100, BONHAM, TX 75418-4094
(903) 640-4700
(903) 640-1975
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P9264
TX
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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