Provider Demographics
NPI:1144482605
Name:BROWN, BENTON LEE (MD)
Entity type:Individual
Prefix:
First Name:BENTON
Middle Name:LEE
Last Name:BROWN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1680 ANTILLEY RD
Mailing Address - Street 2:STE 110
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-5247
Mailing Address - Country:US
Mailing Address - Phone:325-428-5600
Mailing Address - Fax:325-428-5609
Practice Address - Street 1:1680 ANTILLEY RD
Practice Address - Street 2:STE 110
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5247
Practice Address - Country:US
Practice Address - Phone:325-428-5600
Practice Address - Fax:325-428-5609
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2022-08-16
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Provider Licenses
StateLicense IDTaxonomies
TXP6788208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8DU637OtherBCBS