Mr Brian Edward Benham, CRNA | |
Brooke Army Medical Center Mche-qd/credentials, 3851 Roger Brooke Drive, Ft. Sam Houston, TX 78234-6200 | |
(210) 221-6329 | |
Not Available |
Full Name | Mr Brian Edward Benham |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | Brooke Army Medical Center Mche-qd/credentials, Ft. Sam Houston, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1740270503 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 647023 (Texas) | Primary |
Mailing Address | Practice Location Address |
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Mr Brian Edward Benham, CRNA 110 Quarry Pt, New Braunfels, TX 78132-4418 Ph: (830) 629-0959 | Mr Brian Edward Benham, CRNA Brooke Army Medical Center Mche-qd/credentials, 3851 Roger Brooke Drive, Ft. Sam Houston, TX 78234-6200 Ph: (210) 221-6329 |