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Individual

BENSON BETHEL BENJAMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
815 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2224
(817) 321-0404
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3146
(817) 321-0404

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
89239
GA
2085R0202X
Diagnostic Radiology Physician
Primary
S7845
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/07/2016
Last updated
06/21/2024
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