Dubois, Benjamin Caleb

Dubois, Benjamin Caleb is an individual health care provider with primary practice located at 1920 Galleria Oaks Dr , Texarkana TX 75503-4619. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Dubois, Benjamin Caleb can be contacted via phone (903) 792-6114.

Contact Information

Primary practice address
1920 Galleria Oaks Dr Texarkana TX 75503-4619
Phone: (903) 792-6114
Fax: (903) 792-4266
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X N9202 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1205054301
LBN Legal business name Dubois, Benjamin Caleb
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Apr 30th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205054301 NPPES
Oklahoma MEDICAID 200449090A
Oklahoma MEDICAID 2443666
Oklahoma MEDICAID 337957001

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