Basic Information
Provider Information
NPI: 1326368895
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DRAPKIN
FirstName: BENJAMIN
MiddleName: J
NamePrefix: DR.
NameSuffix:  
Credential: MD, PHD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 845347
Address2:  
City: DALLAS
State: TX
PostalCode: 752847208
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 2201 INWOOD RD # NC3.500
Address2:  
City: DALLAS
State: TX
PostalCode: 752357320
CountryCode: US
TelephoneNumber: 2146454673
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/08/2010
LastUpdateDate: 05/28/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/28/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XL-244245MAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X276169MAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RH0003X276169MAN Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
207RX0202XS6605TXY Allopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology

No ID Information.


Home