Individual provider · NPI-1
Tammy Elaine Benjamin, sole proprietor
Case Manager/Care Coordinator · Spring, TX
NPI number1407603582
StatusActive
Last updated in NPPESMay 6, 2024
Details
- NPI
- 1407603582
- Entity type
- Individual (NPI-1)
- Name
- Tammy Elaine Benjamin
- Credential
- sole proprietor
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 6, 2024
- Certification date
- May 2, 2024
- Last updated
- May 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | TX | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
24014 Spring Oak DrSpring, TX 77373-8937
Phone 281-739-2671
Mailing address
24014 Spring Oak DrSpring, TX 77373-8937
Phone 281-739-2671
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