Bennett, Robert E

Bennett, Robert E is an individual health care provider with primary practice located at 701 W 5Th St , Odessa TX 79763-4206. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Bennett, Robert E can be contacted via phone (432) 335-5270.

Contact Information

Primary practice address
701 W 5Th St Odessa TX 79763-4206
Phone: (432) 335-5270
Fax: (432) 335-5354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X F1381 Texas
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X F1381 Texas
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X F1381 Texas

Profile Details

NPI number 1669569596
LBN Legal business name Bennett, Robert E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Oct 1st, 2010 - about 16 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 1669569596 NPPES
Texas MEDICAID 106254902
Texas Other 89C758

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