Benny Illickal

NPI #1740682673 in Sunnyvale, Texas

Provider Information

NPI Number
1740682673
Entity Type
Individual
Name
Benny Illickal
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Radiology - Diagnostic Radiology
Enumeration Date
Sep 23, 2014
Last Updated
Sep 23, 2014

Practice Location

Address
291 STONE MOUNTAIN DR
State
Texas
ZIP Code
75182-2655
Phone
(972) 352-7260

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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