Dr Benjamin Memmott, DO | |
3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | |
(210) 916-5545 | |
Not Available |
Full Name | Dr Benjamin Memmott |
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Gender | Male |
Speciality | General Practice |
Location | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1043895691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | T9745 (Texas) | Primary |
Entity Name | Telehealth Clinical Evals, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346868387 PECOS PAC ID: 2860816725 Enrollment ID: O20200724000406 |
Mailing Address | Practice Location Address |
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Dr Benjamin Memmott, DO 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 Ph: (210) 916-5545 | Dr Benjamin Memmott, DO 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 Ph: (210) 916-5545 |
Steven Todd Stoffel, DO General Practice Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-5910 Fax: 210-916-2077 | |
Dr. Brandon Lee Myers, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-4141 | |
Tyler Doty, DO General Practice Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-539-5545 | |
Alan Hans, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Saushec Emergency Medicine Residency, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-6129 | |
Elizabeth Lee Carpenter, General Practice Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-292-5077 Fax: 210-292-7868 | |
Jacob Tindle, General Practice Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-539-5545 |