Dr. Benjamin Wilson Covington IV, M.D.
Family Medicine in Weatherford, TX. Individual provider (NPI-1).
NPI number1336140474
StatusActive
Last updated in NPPESJan 28, 2013
Details
- NPI
- 1336140474
- Entity type
- Individual (NPI-1)
- Name
- Dr. Benjamin Wilson Covington IV
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 10, 2005
- Last updated
- Jan 28, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | L5709 | TX | Yes |
| 207P00000X | Emergency Medicine | L5709 | TX | |
| 208M00000X | Hospitalist | L5709 | TX |
Practice location
730 Eureka StWeatherford, TX 76086-6546
Phone 817-514-6193 · Fax 817-514-6947
Mailing address
Po Box 26804Benbrook, TX 76126-0804
Phone 817-514-6193 · Fax 817-514-6947
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