Individual
MR. KENDIL CREIGHTON BIENFANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.S.A.
Contact information
Practice address
414 WINDHOLLOW CIR, LEAGUE CITY, TX 77573-5917
(281) 538-8706
Mailing address
PO BOX 57031, WEBSTER, TX 77598-7031
(281) 538-8706
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
SA00030
TX
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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