Individual
MR. BENJAMIN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
400 ROSALIND REDFERN GROVER PKWY, MIDLAND, TX 79701-5846
(901) 937-9961
Mailing address
PO BOX 51982, MIDLAND, TX 79710-1982
(901) 937-9961
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
14018
TN
Other
Enumeration date
03/02/2009
Last updated
11/14/2016
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