Individual
BENSON NFON TANJONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE ANESTHETIST
Contact information
Practice address
2001 N OREGON ST, EL PASO, TX 79902-3320
(915) 577-6011
Mailing address
2930 N STANTON ST, EL PASO, TX 79902-2511
(915) 271-4570
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
NUR-RN-LIC-131754
MT
367500000X
Certified Registered Nurse Anesthetist
Primary
1112058
TX
Other
Enumeration date
05/16/2023
Last updated
07/19/2023
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