Individual
BENN SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN AGNP-C
Contact information
Practice address
2929 CALDER ST STE 100, BEAUMONT, TX 77702-1841
(409) 839-3118
(409) 654-6921
Mailing address
3570 COLLEGE ST STE 200, BEAUMONT, TX 77701-4679
(409) 839-3118
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP143362
TX
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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