Bennos, Eric S

Bennos, Eric S is an individual health care provider with primary practice located at 6000 Bay Park Ct , Flower Mound TX 75022-5576. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bennos, Eric S can be contacted via phone (972) 724-0769.

Contact Information

Primary practice address
6000 Bay Park Ct Flower Mound TX 75022-5576
Phone: (972) 724-0769
Fax: (972) 539-6485
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G7164 Texas

Profile Details

NPI number 1902803190
LBN Legal business name Bennos, Eric S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Apr 4th, 2012 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902803190 NPPES
Texas MEDICAID 122344801
Texas Other MDG7164

Popular Providers