Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | AP134227 | TX |
N | 363LA2200X | Nurse Practitioner - Adult Health | 787152 | TX |
N | 363LA2200X | Nurse Practitioner - Adult Health | AP134227 | TX |
N | 363LG0600X | Nurse Practitioner - Gerontology | 787152 | TX |
N | 363LG0600X | Nurse Practitioner - Gerontology | AP134227 | TX |
N | 363LP2300X | Nurse Practitioner - Primary Care | 787152 | TX |
Y | 363LP2300X | Nurse Practitioner - Primary Care | AP134227 | TX |
NPI | 1023538139 |
---|---|
Provider Name | Darrell Elliott Benko |
First Address | El Paso, TX 79924-5340 |
Second Address | El Paso, TX 79924-5340 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2017 |
Last Update Date | 17/07/2017 |