| Benjamin Joseph Damazo, MD | |
|
1111 Raintree Cir Ste 280, Allen, TX 75013-4901 | |
| (972) 984-1050 | |
| Not Available |
| Full Name | Benjamin Joseph Damazo |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 1111 Raintree Cir Ste 280, Allen, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598298010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | U6706 (Texas) | Primary |
| 207Y00000X | Otolaryngology | 77197 (Wisconsin) | Secondary |
| Entity Name | The Ent & Allergy Centers Of Texas, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144470873 PECOS PAC ID: 4385709054 Enrollment ID: O20090212000145 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Joseph Damazo, MD 5220 W University Dr Ste 150, Mckinney, TX 75071-7418 Ph: () - | Benjamin Joseph Damazo, MD 1111 Raintree Cir Ste 280, Allen, TX 75013-4901 Ph: (972) 984-1050 |
Dr. Gretchen Ann Champion, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1105 North Central Expressway, Suite 210, Allen Ear, Nose, Throat, & Allergy, P.a., Allen, TX 75013 Phone: 972-747-4646 Fax: 972-747-4633 | |
Richard L Ragsdale, D.O. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1105 Central Expy N, Ste 210, Allen, TX 75013 Phone: 972-747-4646 Fax: 972-747-4633 |