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NPI Code Detail

MEDICARE: BENJAMIN SWENSON DO

MEDICARE: BENJAMIN SWENSON DO
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
1207L00000XAnesthesiology PhysicianW2129TX

General Provider Information

NPI Number : 1538861745
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN SWENSON DO
Provider Business Mailing Address
First Line : PO BOX 844658
Second Line :
City : DALLAS
State : TX
Zip : 75284-4658
Country : US
Telephone Number : 254-724-2111
Fax Number :
Provider Business Practice Location Address
First Line : 546 N KEGLEY RD
Second Line :
City : TEMPLE
State : TX
Zip : 76502-4069
Country : US
Telephone Number : 254-724-2111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2023
Last Update Date : 01/21/2026

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