Provider Demographics
NPI:1831231984
Name:BARNETT, BENJAMIN NEIL (DC)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:NEIL
Last Name:BARNETT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6463
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-6463
Mailing Address - Country:US
Mailing Address - Phone:956-664-8333
Mailing Address - Fax:956-618-3952
Practice Address - Street 1:4752 S JACKSON RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-6199
Practice Address - Country:US
Practice Address - Phone:956-664-8333
Practice Address - Fax:956-618-3952
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8120111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor