Organization
BENJAMIN MEDICAL ASSOCIATES, FORNEY. PA
Active
Parent organization
BENJAMIN MEDICAL ASSOCIATES, FORNEY. PA
Other names
BMA FORNEY
Organization subpart
Yes
Provider details
NPI number
Legal business name
BENJAMIN MEDICAL ASSOCIATES, FORNEY. PA
Authorized official
DR. JENSE BENJAMIN MD (PRESIDENT)
97255222621
Entity
Organization
Contact information
Practice address
124 E US HIGHWAY 80, STE 104, FORNEY, TX 75126-8612
(972) 552-2621
(972) 552-2620
Mailing address
1611 N BELT LINE RD, STE A, MESQUITE, TX 75149-1722
(972) 613-1000
(972) 613-4232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L 2800
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182616601
—
TX
Enumeration date
11/20/2007
Last updated
12/09/2010
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