Individual
BENJAMIN JOSEPH MCCOLLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 AVENUE E, HONDO, TX 78861-3534
(830) 426-7444
Mailing address
PO BOX 335, HONDO, TX 78861-0335
(505) 879-7929
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
71446
GA
207Q00000X
Family Medicine Physician
Primary
U9600
TX
Other
Enumeration date
07/06/2012
Last updated
10/22/2024
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