Individual
DR. BRYAN DOUGLAS BENBOW
Active
Individual
DR. BRYAN DOUGLAS BENBOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J8204
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T11F
BLUE CROSS
TX
05
—
035939001
—
TX
05
—
035939003
—
TX
05
—
100152870A
—
OK
05
—
127728001
—
AR
05
—
1490270
—
LA
01
—
97055
BLUE CROSS
AR
Enumeration date
07/11/2005
Last updated
07/16/2025
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