Individual
BENJAMIN SON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3500 W WHEATLAND RD, DALLAS, TX 75237-3460
(214) 947-7777
Mailing address
1852 GLEN WOOD DR, GRAPEVINE, TX 76051-7300
(817) 733-2572
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
BP10082922
TX
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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