Orvial Lee Bennett JR., PA

NPI #1336223288 in Carrollton, Texas

Provider Information

NPI Number: 1336223288
Entity Type: Individual
Name: Orvial Lee Bennett JR., PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 25, 2006
Last Updated: Mar 5, 2010

Practice Location

Address: 4333 N JOSEY LN STE 104
City: Carrollton
State: Texas
ZIP Code: 75010-4620
Phone: (972) 394-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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