Dr. Theodore T Benke
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon Pediatric Otolaryngology
203 Walls Dr Suite 101
Cleburne
, Texas 76033-7022
Dr. Theodore T Benke
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon Pediatric Otolaryngology
203 Walls Dr Suite 101
Cleburne
, Texas 76033-7022
(817) 641-3754
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Pediatric Otolaryngology
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Theodore T Benke
- 203 Walls Dr Suite 101
- Cleburne, TX
- Zip : 76033-7022
- Fax : (817) 641-3754
- Phone : (817) 641-3750
Second Address
- Dr. Theodore T Benke
- 203 Walls Dr Suite 101
- Cleburne, TX
- Zip : 76033-7022
- Fax : (817) 641-3754
- Phone : (817) 641-3750
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Is Dr. Theodore T Benke a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | H7889 | TX |
| N | 207YP0228X | Pediatric Otolaryngology | H7889 | TX |
| N | 207YS0123X | Facial Plastic Surgeon | H7889 | TX |
National Provider Identifier
| NPI | 1295786135 |
|---|---|
| Provider Name | Dr. Theodore T Benke |
| First Address | Cleburne, TX 76033-7022 |
| Second Address | Cleburne, TX 76033-7022 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/05/2006 |
| Last Update Date | 12/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 044777301 | (05) | TX |
| 044777302 | (05) | TX |
| 081301601 | (05) | TX |
| E59491 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.