NPI 1023435500

S Charles Bennett, AA

Practitioner Anesthesiologist Assistant Dallas, TX

Practice location

Address: 12222 Merit Dr STE 600, Dallas, TX 75251-3294
Phone: (972) 715-5000
Fax: (972) 715-9976
Mailing address: PO Box 840853, Dallas, TX 75284-0853

Registered specialties (3)

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 9529 (GA)

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Anesthesiologist Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence AA000040 (DC)

Anesthesiologist Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 1543 (TX)

Registry record

NPI: 1023435500
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Mar 2014
Record last updated: 21 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.