| NPI Details | |
|---|---|
| NPI | 1003913773 |
| Enumeration Date | 09/17/2006 |
| Last Updated | 07/09/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | BENJAMIN C BENJAMIN |
| Position | PRESIDENT |
| Phone | (432) 683-5403 |
| Fax | (432) 682-5105 |
| Practice Location | |
|---|---|
| 3203 SAGE ST MIDLAND TX, 79705-5711, US |
|
| Phone | (432) 683-5403 |
| Fax | (432) 682-5105 |
| Business Location | |
|---|---|
| 3203 SAGE ST MIDLAND TX, 79705-5711, US |
|
| Phone | (432) 683-5403 |
| Fax | (432) 682-5105 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 314000000X |
| License State | Texas |
| License Number | 004280 |
| Remove 1003913773 NPI Number | |
According to our database, Trinity Haven Healthcare Center, Inc. NPI is 1003913773, taxonomy code is 314000000X and license number is 004280, license state is located at Texas. Trinity Haven Healthcare Center, Inc. physically located at 3203 Sage St, Midland TX, 79705-5711. NPI Number 1033115704 has the healthcare provider type.
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1003913773 NPI number is provided on an as is basis without warranty of any kind. 1003913773 is maintained by the National Plan & Provider Enumeration System. The contents of Trinity Haven Healthcare Center, Inc. are for informational purposes only.
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