Individual
BONNA BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1901 MEDI PARK DR, STE 2051, AMARILLO, TX 79106-2169
(806) 468-4300
(806) 468-4398
Mailing address
1400 WALLACE BLVD, ATTN: CREDENTIALING DEPT, AMARILLO, TX 79106-1708
(806) 468-4300
(806) 468-4398
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
J8911
TX
2086S0120X
Pediatric Surgery Physician
Primary
J8911
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100027640A
—
OK
05
—
124606806
—
TX
05
—
124606807
—
TX
05
—
J8716
—
NM
Enumeration date
07/31/2006
Last updated
07/17/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us