Supnet, Benjamin D

Supnet, Benjamin D is an individual health care provider with primary practice located at 7121 Spid Suite 302, Corpus Christi TX 78412-4941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Supnet, Benjamin D can be contacted via phone (362) 851-5000.

Contact Information

Primary practice address
7121 Spid Suite 302 Corpus Christi TX 78412-4941
Fax: (361) 851-8053
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X L3152 Texas

Profile Details

NPI number 1508862723
LBN Legal business name Supnet, Benjamin D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Apr 18th, 2023 - about last year

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 1508862723 NPPES
Texas MEDICAID 146593201
Texas MEDICAID 146593202

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