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Individual

CHAD BENNINGHOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1301 WONDER WORLD DR, SAN MARCOS, TX 78666-7533
(512) 353-8979
Mailing address
160 RAINTREE DR, KYLE, TX 78640-5837
(512) 203-0413

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
AP7707
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP7707
AZ

Other

Enumeration date
08/31/2012
Last updated
03/30/2026
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