Organization
AVANLEE BIRTH AND MATERNITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN GRAHAM BENNETT (ADMINISTRATOR)
(254) 690-5900
Entity
Organization
Contact information
Practice address
811 S W S YOUNG DR, KILLEEN, TX 76543-4801
(254) 690-5900
(254) 690-5908
Mailing address
811 S W S YOUNG DR, KILLEEN, TX 76543-4801
(254) 690-5900
(254) 690-5908
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
008360
TX
Other
Enumeration date
04/16/2007
Last updated
09/02/2009
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