Individual
MR. BENJAMIN DAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
716 N HIGHWAY 67 STE 2, CEDAR HILL, TX 75104-2117
(972) 291-9165
(469) 575-9975
Mailing address
PO BOX 222093, DALLAS, TX 75222-2093
(972) 291-9165
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
L9668
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8AE370
BCBS
TX
Enumeration date
03/22/2006
Last updated
12/01/2017
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