Individual
DR. BENJAMIN FANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 W EXPRESSWAY 83, ATTN: MCALLEN HOSPITALIST PROGRAM, MCALLEN, TX 78503-3045
(956) 632-4000
(956) 961-4286
Mailing address
1400 W TRENTON RD, ATTN: PHYSICIAN PRACTICE ADMINISTRATOR, EDINBURG, TX 78539-3413
(956) 388-2207
(956) 289-5040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L0164
TX
208M00000X
Hospitalist Physician
L0164
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046849804
—
TX
Enumeration date
10/02/2006
Last updated
06/06/2013
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