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NPI Code Detail

MEDICARE: JAMES B BENNETT M.D.

MEDICARE: JAMES B BENNETT M.D.
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
12086S0105XSurgery of the Hand (Surgery) PhysicianE5680TX
2207XS0106XOrthopaedic Hand Surgery PhysicianE5680TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154314714
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES B BENNETT M.D.
Provider Business Mailing Address
First Line : 7401 SOUTH MAIN ST
Second Line : FONDREN ORTHOPEDIC GROUP L.L.P.
City : HOUSTON
State : TX
Zip : 77030-4509
Country : US
Telephone Number : 713-799-2300
Fax Number : 713-794-3380
Provider Business Practice Location Address
First Line : 7401 SOUTH MAIN ST
Second Line : FONDREN ORTHOPEDIC GROUP L.L.P.
City : HOUSTON
State : TX
Zip : 77030-4509
Country : US
Telephone Number : 713-799-2300
Fax Number : 713-794-3380
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2005
Last Update Date : 05/12/2022

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