Benson Igboeli
Benson Igboeli is a PACE Provider Organization in Grand Prairie, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2012
Practice location Address checks out
829 Springwood DrGrand Prairie, TX 75052-6092
Phone: (972) 262-5828
Fax: (972) 262-5828
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| PACE Provider Organization (primary) | Taxonomy 251T00000X · Licence 000000000000 (TX) |
|---|
Record details
| NPI number | 1003161274 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 13, 2012 |
| Last updated in NPPES | July 13, 2012 |
| Mailing address | 829 Springwood Dr, Grand Prairie, TX 75052-6092 |