Benjamin Fano MD PA

NPI #1881988061 in Mission, Texas

Provider Information

NPI Number: 1881988061
Entity Type: Organization
Organization Name: Benjamin Fano MD PA
Primary Specialty: Internal Medicine
Enumeration Date: Jun 5, 2011
Last Updated: Jun 5, 2011

Practice Location

Address: 1616 STONEGATE DR
City: Mission
State: Texas
ZIP Code: 78574-2764
Phone: (956) 624-7187

Authorized Official

Name: DR. BENJAMIN FANO, MD
Title: OWNER
Phone: (956) 624-7187

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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