Organization
BENKE EAR NOSE AND THROAT CLINIC
Active
Other names
THEODORE T BENKE MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE T BENKE M.D. (OWNER PRESIDENT)
(817) 641-3750
Entity
Organization
Contact information
Practice address
1317 GLENWOOD DR, CLEBURNE, TX 76033
(817) 641-3750
Mailing address
1317 GLENWOOD DR, CLEBURNE, TX 76033
(817) 641-3750
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
H7889
TX
237600000X
Audiologist-Hearing Aid Fitter
H7889
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044777301
—
TX
05
—
044777302
—
TX
05
—
081301601
—
TX
Enumeration date
04/24/2007
Last updated
04/14/2022
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