Most Relevant Information
Provider Data
| NPI Number: | 1003698739 |
| Provider Name: | BENJAMIN GREGORY |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 13427 |
Most Important Dates
| Enumeration Date: | 10/17/2023 |
| Last Updated: | 10/17/2023 |
Provider Practice Location
101 S CENTER ST APT 620
ARLINGTON
TX
760101359
Practice Location Phone/Fax
| Phone: | 6822009489 |
| Fax: |
Provider Mailing Location
101 S CENTER ST APT 620
ARLINGTON
TX
760101359
Provider Mailing Phone/Fax
| Phone: | 6822009489 |
| Fax: |