Individual provider · Type 1 NPI

Bonna Benjamin, MD

Pediatric Surgery Physician · Amarillo, TX

NPI number 1861408015 Active

Practice location

1901 Medi Park Dr, Ste 2051
Amarillo, TX 79106-2169

Call (806) 468-4300 Map

Fax (806) 468-4398

Mailing address

1400 Wallace Blvd, Attn: Credentialing Dept
Amarillo, TX 79106-1708

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XJ8911 (TX)
Pediatric Surgery Physician Primary 2086S0120XJ8911 (TX)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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About NPI 1861408015

Bonna Benjamin, MD's National Provider Identifier is 1861408015, issued on Jul 31, 2006. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Amarillo, TX. The record was last updated on Jul 17, 2013.