Individual
DR. ERIC S BENNOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6000 BAY PARK CT, FLOWER MOUND, TX 75022-5576
(972) 724-0769
(972) 539-6485
Mailing address
PO BOX 270549, FLOWER MOUND, TX 75027-0549
(972) 724-0769
(972) 539-6485
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G7164
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122344801
—
TX
01
—
MDG7164
GROUP
—
Enumeration date
07/01/2005
Last updated
04/04/2012
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