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Individual
ANSLEY BENSON
Active
Individual
ANSLEY BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
PA08269
TX
363A00000X
Physician Assistant
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235478645
—
TX
Enumeration date
02/05/2013
Last updated
02/04/2020
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