Individual
JODI M BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-3609
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
263085
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP120704
TX
367500000X
Certified Registered Nurse Anesthetist
CRNA0586
AZ
367500000X
Certified Registered Nurse Anesthetist
RN15402
AZ
Other
Enumeration date
07/12/2007
Last updated
04/08/2022
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