Provider Demographics
NPI: | 1326657172 |
---|---|
Name: | BENE BEYOND FAMILY MEDICINE PLLC |
Entity Type: | Organization |
Organization Name: | BENE BEYOND FAMILY MEDICINE PLLC |
Other - Org Name: | BENE BEYOND |
Other - Org Type: | Other Name |
Authorized Official - Title/Position: | PHYSICIAN |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | CURRISSA |
Authorized Official - Middle Name: | P |
Authorized Official - Last Name: | ALSOBROOKS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 855-236-3492 |
Mailing Address - Street 1: | 8530 FM 1960 RD E STE 212 |
Mailing Address - Street 2: | |
Mailing Address - City: | HUMBLE |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 77346-1831 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 855-236-3492 |
Mailing Address - Fax: | 815-371-1232 |
Practice Address - Street 1: | 8530 FM 1960 RD E STE 106 |
Practice Address - Street 2: | |
Practice Address - City: | HUMBLE |
Practice Address - State: | TX |
Practice Address - Zip Code: | 77346-1831 |
Practice Address - Country: | US |
Practice Address - Phone: | 885-236-3492 |
Practice Address - Fax: | 815-371-1232 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2020-07-28 |
Last Update Date: | 2020-07-30 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Single Specialty |