Provider Demographics
NPI:1558304626
Name:MACMASTER, BENZEL CHRISTOPHER (MD)
Entity Type:Individual
Prefix:DR
First Name:BENZEL
Middle Name:CHRISTOPHER
Last Name:MACMASTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:8220 WALNUT HILL LN
Mailing Address - Street 2:SUITE 310
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231
Mailing Address - Country:US
Mailing Address - Phone:214-691-7077
Mailing Address - Fax:214-692-8421
Practice Address - Street 1:8220 WALNUT HILL LN
Practice Address - Street 2:SUITE 310
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4427
Practice Address - Country:US
Practice Address - Phone:214-691-7077
Practice Address - Fax:214-692-8421
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF6019207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP000J86N4Medicaid
TX00J86NMedicare PIN
TXP000J86N4Medicaid