Benjamin Pack

NPI #1861848491 in Wylie, Texas

Provider Information

NPI Number: 1861848491
Entity Type: Individual
Name: Benjamin Pack
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Enumeration Date: May 12, 2016
Last Updated: May 12, 2016

Practice Location

Address: 415 W MARBLE ST
City: Wylie
State: Texas
ZIP Code: 75098-4330
Phone: (832) 961-0705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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