Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | E5680 | TX |
N | 2086S0105X | Surgery of the Hand | E5680 | TX |
NPI | 1154314714 |
---|---|
Provider Name | James B Bennett |
First Address | Houston, TX 77030-4509 |
Second Address | Houston, TX 77030-4509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2005 |
Last Update Date | 14/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
136640308 | (05) | TX |
C13359 | (02) | TX |