Bianca J Bennett, LVN
Individual provider Active NPI Licensed Vocational Nurse · Center, TX
NPI 1013499433 · NPPES record last updated Sep 1, 2018
Key facts
- NPI
- 1013499433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 327374 (TX)
- Practice address
- 1108 Sampson St
Center, TX 75935 - Phone
- (936) 332-1234
- NPI assigned
- Sep 1, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 327374 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 327374 | TX | Yes |
Addresses
Primary practice location
1108 Sampson St
Center, TX 75935
Mailing address
1108 Sampson St
Center, TX 75935
Phone (936) 332-1234
Other providers in Center, TX
- Danna Yvonne Bailey-Watts
- Ashley Balkcom
- Anita Dawn Barnes
- Carla Evette Barnes
- Michael H Belgard
- Valerie Berry
- Kellie Bleile
- Clarence Winston Bolinger Jr.
- Lauren Elizabeth Bonner
- Madyson Ryane Bowden Mathews
All providers in Center, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.