Individual
JOHN ROBERT BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
825 E RUNDBERG LN, AUSTIN, TX 78753-4808
(512) 472-4357
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357
(512) 703-1394
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP140896
TX
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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