Angelica Ybanez Bennett PA

NPI 1174647259 - Physician Assistant - 363A00000X

NPI Details
NPI 1174647259
Gender Female
Enumeration Date 03/16/2007
Last Updated 12/23/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
3051 CHURCHILL DR
SUITE 130
FLOWER MOUND TX, 75022-2713, US
Phone (972) 539-0086
Fax (972) 355-9680
Business Location
3051 CHURCHILL DR
SUITE 130
FLOWER MOUND TX, 75022-2713, US
Phone (972) 539-0086
Fax (972) 355-9680
Toxanomy
Taxonomy Code 363A00000X
License State Texas
License Number PA02949
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According to our database, Angelica Ybanez Bennett PA NPI is 1174647259, taxonomy code is 363A00000X and license number is PA02949, license state is located at Texas. Angelica Ybanez Bennett PA physically located at 3051 Churchill Dr, Flower Mound TX, 75022-2713. NPI Number Angelica Ybanez Bennett PA has the Individual type.

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1174647259 NPI number is provided on an as is basis without warranty of any kind. 1174647259 is maintained by the National Plan & Provider Enumeration System. The contents of Angelica Ybanez Bennett PA are for informational purposes only.