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Kevin Benham, 10665TG OD

NPI 1336479724 · on the registry since 2010

Practice

Address
4321 State Highway 6
College Station, TX 77845
Phone
(979) 321-6565
Fax
(979) 321-6566

Registry record

Primary taxonomy
152W00000X
152W00000X
Also registered as
152W00000X
152WC0802X
152WL0500X
152WP0200X
152WS0006X
152WV0400X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas