Mr Benny Ray Gustafson, RMT is a
Massage Therapist based in Woodway, Texas. Mr Benny Ray Gustafson is licensed to practice in Texas (license number MT042353) and his current practice location is
123 Topeka Dr, Suite H, Woodway, Texas. He can be reached at his office (for appointments etc.) via phone at
(254) 723-1811.
NPI number for Mr Benny Ray Gustafson is 1558402164 and his current mailing address is 328 Will Boleman Dr, Hewitt, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558402164.
Healthcare Provider's Profile
| Full Name | Mr Benny Ray Gustafson |
|---|
| Gender | Male |
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| Speciality | Massage Therapist |
|---|
| Location | 123 Topeka Dr, Woodway, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558402164
- Provider Enumeration Date: 02/08/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Benny Ray Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558402164 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | MT042353 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Benny Ray Gustafson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Benny Ray Gustafson, RMT
328 Will Boleman Dr,
Hewitt, TX 76643-3601
Ph: (254) 666-5334 | Mr Benny Ray Gustafson, RMT
123 Topeka Dr, Suite H,
Woodway, TX 76712-6168
Ph: (254) 723-1811 |
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