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Benny Illickal
NPI 1740682673 · on the registry since 2014
Practice
- Address
- 291 Stone Mountain Dr
Sunnyvale, TX 75182 - Phone
- (972) 352-7260
Registry record
- Primary taxonomy
- 2085R0202X
2085R0202X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-09-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas