Doctor Name: | BENJAMIN LOUIS PSENCIK |
NPI Number: | 1225236532 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | APRN, FNP-C |
License Number: | 534447 |
Business Practice Address: | 1406 N Texana St Hallettsville, TX - 779642021 |
Business Phone Number: | 3617981200 |
Business Fax Number: | |
Mailing Address: | 1406 N Texana St, HALLETTSVILLE |
State: | TX |
Postal Code: | 779642021 |
Phone Number: | 3617981200 |
Fax Number: | |
NPI Enumeration Date: | 07/07/2007 |
NPI Last Update Date: | 04/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 534447 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |