Benjamin James Anthony, ATC
Individual provider Active NPI Athletic Trainer · Friona, TX
NPI 1366940892 · NPPES record last updated Jan 30, 2018
Key facts
- NPI
- 1366940892
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 2978 County Road 14
Friona, TX 79035-7008 - Phone
- (806) 265-5583
- Fax
- (806) 265-5583
- NPI assigned
- Jan 30, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer |
2255A2300X | Yes |
Addresses
Primary practice location
2978 County Road 14
Friona, TX 79035-7008
Mailing address
2978 County Road 14
Friona, TX 79035-7008
Phone (806) 265-5583
Other providers in Friona, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 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.