Phillips, Benny Pothen

Phillips, Benny Pothen is an individual health care provider with primary practice located at 3621 22Nd St Suite 100, Lubbock TX 79410-1301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Phillips, Benny Pothen can be contacted via phone (806) 796-1317.

Contact Information

Primary practice address
3621 22Nd St Suite 100 Lubbock TX 79410-1301
Phone: (806) 796-1317
Fax: (806) 796-0426
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X F2851 Texas

Profile Details

NPI number 1962497305
LBN Legal business name Phillips, Benny Pothen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Jul 8th, 2007 - about 17 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 1962497305 NPPES
Texas Other 84141N BLUE CROSS BLUE SHIELD

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