Individual
ANSLEY BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
12200 PARK CENTRAL DR STE 400, DALLAS, TX 75251-2116
(214) 483-9300
Mailing address
450 W MEDICAL CENTER BLVD, #600-C, WEBSTER, TX 77598-4234
(281) 554-1690
(281) 316-0590
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
PA08269
TX
363A00000X
Physician Assistant
Primary
—
—
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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