Provider Demographics
NPI:1609873694
Name:BENEFIELD, WILLIAM HENRY JR (PHARMD, BCPP)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HENRY
Last Name:BENEFIELD
Suffix:JR
Gender:M
Credentials:PHARMD, BCPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4502 MEREDITH WOODS ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-1410
Mailing Address - Country:US
Mailing Address - Phone:210-408-0385
Mailing Address - Fax:210-408-0386
Practice Address - Street 1:4502 MEREDITH WOODS ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-1410
Practice Address - Country:US
Practice Address - Phone:210-408-0385
Practice Address - Fax:210-408-0386
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX316881835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric