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John Anthony Bennett, CCP

Perfusionist in San Antonio, TX. Individual provider (NPI-1).

NPI number1962069161
StatusActive
Last updated in NPPESJan 8, 2020

Details

NPI
1962069161
Entity type
Individual (NPI-1)
Name
John Anthony Bennett
Credential
CCP
Sex
Male
Sole proprietor
No
Enumeration date
May 22, 2019
Certification date
Jan 8, 2020
Last updated
Jan 8, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
242T00000X PerfusionistFPF02000089TXYes

Practice location

14603 Huebner Rd Ste 28101
San Antonio, TX 78230-5497

Phone 210-614-7074

Mailing address

14603 Huebner Rd Ste 28101
San Antonio, TX 78230-5497

Phone 210-614-7074

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