| Benthambenterprises, Ltd | |
|
4710 Esplanade Ct Granbury TX 76049-4010 | |
| (817) 219-4599 | |
| (817) 219-4599 |
| Full Name | Benthambenterprises, Ltd |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4710 Esplanade Ct, Granbury, Texas |
| Authorized Official Name and Position | Jack E Bentham (PRESIDENT) |
| Authorized Official Contact | 8172194500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benthambenterprises, Ltd 4710 Esplanade Ct Granbury TX 76049-4010 Ph: (817) 219-4599 | Benthambenterprises, Ltd 4710 Esplanade Ct Granbury TX 76049-4010 Ph: (817) 219-4599 |
| NPI Number | 1043730385 |
|---|---|
| Provider Enumeration Date | 06/27/2017 |
| Last Update Date | 06/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043730385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 36233 (Texas) | Primary |
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