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Individual

BENNIE PADGETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5615 H MARK CROSSWELL JR ST, HOUSTON, TX 77021-1080
(803) 640-0678
Mailing address
625 19TH ST S, BIRMINGHAM, AL 35233-1900

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
V0498
TX

Other

Enumeration date
04/12/2020
Last updated
07/24/2024
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