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NPI Code Detail

MEDICARE: DR. KAREN LAITNER BENZ D.O.

MEDICARE:  DR. KAREN LAITNER BENZ  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianL4243TX

General Provider Information

NPI Number : 1407802093
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAREN LAITNER BENZ D.O.
Provider Business Mailing Address
First Line : 1250 8TH AVE STE 270
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4139
Country : US
Telephone Number : 817-725-7900
Fax Number : 817-335-4418
Provider Business Practice Location Address
First Line : 1250 8TH AVE
Second Line : SUITE 270
City : FORT WORTH
State : TX
Zip : 76104-4124
Country : US
Telephone Number : 817-927-9100
Fax Number : 817-927-9103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 04/25/2019

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Directions to “ DR. KAREN LAITNER BENZ D.O.” Practice Location

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