Organization
BENJAMIN FANO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN FANO MD (OWNER)
(956) 624-7187
Entity
Organization
Contact information
Practice address
1616 STONEGATE DR, MISSION, TX 78574-2764
(956) 624-7187
Mailing address
1616 STONEGATE DR, MISSION, TX 78574-2764
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/05/2011
Last updated
06/05/2011
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