Mrnustik, Benny R
Mrnustik, Benny R is an individual health care provider with primary practice located at 5501 Gordon Smith Dr Ste 500 , Rowlett TX 75089-3209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mrnustik, Benny R can be contacted via phone (214) 703-8100.Contact Information
Primary practice address
5501 Gordon Smith Dr Ste 500
Rowlett TX 75089-3209
Phone: (214) 703-8100
Fax: (214) 703-3269
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G8304 | Texas |
Profile Details
| NPI number | 1093773558 |
|---|---|
| LBN Legal business name | Mrnustik, Benny R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Oct 7th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093773558 | NPPES |
| Texas | MEDICAID | 127974706 |
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