Individual
BENJAMIN HANSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1211 E 6TH ST STE 300, BONHAM, TX 75418-4094
(903) 583-6155
Mailing address
4307 PECAN LN, MELISSA, TX 75454-2694
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP140792
TX
Other
Enumeration date
03/13/2019
Last updated
05/05/2021
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