Dr. Benjamin Bumguardner, D.C.
Chiropractor, Sports Physician in College Station, TX. Individual provider (NPI-1).
NPI number1508303017
StatusActive
Last updated in NPPESSep 6, 2023
Details
- NPI
- 1508303017
- Entity type
- Individual (NPI-1)
- Name
- Dr. Benjamin Bumguardner
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 22, 2017
- Certification date
- Sep 5, 2023
- Last updated
- Sep 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NS0005X | Chiropractor, Sports Physician | 13391 | TX | Yes |
Practice location
4438 Sh 6 SSuite 104
College Station, TX 77845-7452
Phone 979-398-2787
Mailing address
4438 Sh 6 S#104
College Station, TX 77845
Phone 325-660-3266
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