Provider Demographics
NPI:1609942598
Name:BENDER, ARIANNA (MD,)
Entity Type:Individual
Prefix:
First Name:ARIANNA
Middle Name:
Last Name:BENDER
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 W HAGUE RD
Mailing Address - Street 2:STE 310
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-5814
Mailing Address - Country:US
Mailing Address - Phone:915-532-8233
Mailing Address - Fax:915-532-8235
Practice Address - Street 1:125 W HAGUE RD
Practice Address - Street 2:STE 310
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5814
Practice Address - Country:US
Practice Address - Phone:915-532-8233
Practice Address - Fax:915-532-8235
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8713207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH11281Medicare UPIN