Sueoka, Ben L

Sueoka, Ben L is an individual health care provider with primary practice located at 700 Scott And White Dr , College Station TX 77845-6441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Sueoka, Ben L can be contacted via phone (979) 207-0100.

Contact Information

Primary practice address
700 Scott And White Dr College Station TX 77845-6441
Phone: (979) 207-0100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X L8207 Texas

Profile Details

NPI number 1134125305
LBN Legal business name Sueoka, Ben L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Nov 6th, 2020 - 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 1134125305 NPPES
Texas Other P00145467 MEDICARE-RAILROAD
Texas MEDICAID 167520901 MEDICARE-RAILROAD

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